Provider Demographics
NPI:1205410933
Name:DOCTORNOW
Entity Type:Organization
Organization Name:DOCTORNOW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ANVAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-215-7781
Mailing Address - Street 1:12021 WILSHIRE BLVD # 745
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-1206
Mailing Address - Country:US
Mailing Address - Phone:866-215-7781
Mailing Address - Fax:818-501-1892
Practice Address - Street 1:9335 RESEDA BLVD STE 100A
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-2968
Practice Address - Country:US
Practice Address - Phone:866-215-7781
Practice Address - Fax:818-501-1892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-10
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory