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NPI Code Detail

MEDICARE: THRIVE COMPREHENSIVE MEDICAL GROUP, INC.

MEDICARE: THRIVE COMPREHENSIVE MEDICAL GROUP, 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
1261QM2500XMedical Specialty Clinic/CenterA115108CA
2261QM0855XAdolescent and Children Mental Health Clinic/Center
3261QM0850XAdult Mental Health Clinic/Center
4261Q00000XClinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A115108OTHERCACA MEDICAL BOARD
2GR535AOTHERCAPTAN

General Provider Information

NPI Number : 1659625002
Entity Type Code : Organization
Provider Name (Legal Business Name) : THRIVE COMPREHENSIVE MEDICAL GROUP, INC.
Provider Business Mailing Address
First Line : PO BOX 573041
Second Line :
City : TARZANA
State : CA
Zip : 91357-3041
Country : US
Telephone Number : 818-600-1472
Fax Number : 818-600-1494
Provider Business Practice Location Address
First Line : 18607 VENTURA BLVD STE 102
Second Line :
City : TARZANA
State : CA
Zip : 91356-6804
Country : US
Telephone Number : 818-600-1472
Fax Number : 818-600-1494
Authorized Official
Title or Position : CME
Name : ARMIN SHLOMY ARASHEBEN
Credential : MD
Telephone Number : 818-600-1472
Provider Enumeration Date : 11/07/2012
Last Update Date : 06/23/2026

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