Provider Demographics
NPI:1790232551
Name:MEH HEALTH MANAGEMENT, LLC
Entity Type:Organization
Organization Name:MEH HEALTH MANAGEMENT, LLC
Other - Org Name:LAKEWOOD GARDENS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOISE
Authorized Official - Middle Name:E
Authorized Official - Last Name:HENDELES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-933-5763
Mailing Address - Street 1:4601 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-3880
Mailing Address - Country:US
Mailing Address - Phone:323-933-5763
Mailing Address - Fax:323-933-5273
Practice Address - Street 1:12055 LAKEWOOD BLVD
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-2635
Practice Address - Country:US
Practice Address - Phone:562-869-4038
Practice Address - Fax:562-923-0758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA197606651310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility