OrganizationActive
Advance Health Integrative Medicine
NPI 1891016028 · Primary Care Clinic/Center · Los Angeles, CA
Provider details
- NPI number
- 1891016028
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rashel Tahzib, President and Medical Director(310) 779-9537
- License
- 20A9090 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
11633 San Vicente Blvd # 107
Los Angeles, CA 90049-6511
Phone: (310) 779-9537
Approximate (ZIP-level) locationGet directions
Mailing address
11633 San Vicente Blvd # 107
Los Angeles, CA 90049-6511
Registry dates
- Enumerated
- 2010-06-22
- Last updated
- 2010-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.