Provider Demographics
NPI:1609911221
Name:HANDS ON MEDICINE & HEALTH
Entity Type:Organization
Organization Name:HANDS ON MEDICINE & HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZAKARIA
Authorized Official - Middle Name:T
Authorized Official - Last Name:BOSHNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-752-8100
Mailing Address - Street 1:12155 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604
Mailing Address - Country:US
Mailing Address - Phone:818-752-8100
Mailing Address - Fax:818-752-6410
Practice Address - Street 1:12155 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604
Practice Address - Country:US
Practice Address - Phone:818-752-8100
Practice Address - Fax:818-752-6410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25678111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW19020Medicare PIN