Provider Demographics
NPI:1174032577
Name:THE GUARDIAN OF HEALTH
Entity Type:Organization
Organization Name:THE GUARDIAN OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:MARAT
Authorized Official - Last Name:HAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-308-6763
Mailing Address - Street 1:4444 LANKERSHIM BLVD.
Mailing Address - Street 2:SUITE 204
Mailing Address - City:TOLUCA LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:91602
Mailing Address - Country:US
Mailing Address - Phone:818-308-6763
Mailing Address - Fax:818-308-6787
Practice Address - Street 1:4444 LANKERSHIM BLVD.
Practice Address - Street 2:SUITE 204
Practice Address - City:TOLUCA LAKE
Practice Address - State:CA
Practice Address - Zip Code:91602-2346
Practice Address - Country:US
Practice Address - Phone:818-308-6763
Practice Address - Fax:818-308-6787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-28
Last Update Date:2017-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty