MEDICARE: EASYCARE MANAGEMENT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1487353132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASYCARE MANAGEMENT INC

Provider Business Mailing Address
First Line	:	6200 LANKERSHIM BLVD
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-4005
Country	:	US
Telephone Number	:	818-231-0627
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 LANKERSHIM BLVD
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-4005
Country	:	US
Telephone Number	:	818-231-0627
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ERICA NASSERIAN
Credential	:
Telephone Number	:	818-231-0627

Provider Enumeration Date	:	03/01/2023
Last Update Date	:	01/09/2025

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