Provider Demographics
NPI:1467209320
Name:AHARA CORPORATION
Entity type:Organization
Organization Name:AHARA CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACTING CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-405-2240
Mailing Address - Street 1:1901 AVENUE OF THE STARS STE 931
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067-6011
Mailing Address - Country:US
Mailing Address - Phone:805-405-2240
Mailing Address - Fax:
Practice Address - Street 1:1901 AVENUE OF THE STARS STE 931
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-6011
Practice Address - Country:US
Practice Address - Phone:805-405-2240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty