Provider Demographics
NPI:1467059410
Name:NEXT CARE CONNECT
Entity Type:Organization
Organization Name:NEXT CARE CONNECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIGRANUSH
Authorized Official - Middle Name:
Authorized Official - Last Name:MALYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-230-0026
Mailing Address - Street 1:5300 SANTA MONICA BLVD STE 305
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90029-1259
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5300 SANTA MONICA BLVD STE 305
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90029-1259
Practice Address - Country:US
Practice Address - Phone:323-230-0026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management