Provider Demographics
NPI:1730104605
Name:FOREMOST HEALTH CARE MANAGEMENT, INC
Entity Type:Organization
Organization Name:FOREMOST HEALTH CARE MANAGEMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONILO
Authorized Official - Middle Name:S
Authorized Official - Last Name:STA MARIA
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:818-787-0181
Mailing Address - Street 1:6819 SEPULVEDA BLVD
Mailing Address - Street 2:# 206
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-4463
Mailing Address - Country:US
Mailing Address - Phone:818-787-0181
Mailing Address - Fax:818-787-0231
Practice Address - Street 1:6819 SEPULVEDA BLVD
Practice Address - Street 2:# 206
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-4463
Practice Address - Country:US
Practice Address - Phone:818-787-0181
Practice Address - Fax:818-787-0231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy