MEDICARE: TIMED BIO

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	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1669200739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIMED BIO

Provider Business Mailing Address
First Line	:	17835 VENTURA BLVD STE 201
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-3669
Country	:	US
Telephone Number	:	872-263-5397
Fax Number	:

Provider Business Practice Location Address
First Line	:	17835 VENTURA BLVD STE 201
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-3669
Country	:	US
Telephone Number	:	872-263-5397
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SHAIK EHTISHAM AHMED
Credential	:
Telephone Number	:	872-263-5397

Provider Enumeration Date	:	07/22/2024
Last Update Date	:	02/10/2026

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Directions to “TIMED BIO ” Practice Location

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