Provider Demographics
NPI:1831904267
Name:MAE HEALTH, INC.
Entity type:Organization
Organization Name:MAE HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, PARTNER SUCCESS, MAE
Authorized Official - Prefix:
Authorized Official - First Name:MAIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOKHALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-308-7499
Mailing Address - Street 1:453 S SPRING ST STE 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90013-2074
Mailing Address - Country:US
Mailing Address - Phone:213-207-6587
Mailing Address - Fax:
Practice Address - Street 1:453 S SPRING ST STE 400
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90013-2074
Practice Address - Country:US
Practice Address - Phone:213-207-6587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAE HEALTH, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty