Provider Demographics
NPI:1932791258
Name:ESSENTIAL HEALTH, LLC
Entity Type:Organization
Organization Name:ESSENTIAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOKHTARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-424-5123
Mailing Address - Street 1:13200 MOORPARK ST APT 103
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-5192
Mailing Address - Country:US
Mailing Address - Phone:818-424-5123
Mailing Address - Fax:
Practice Address - Street 1:13200 MOORPARK ST APT 103
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-5192
Practice Address - Country:US
Practice Address - Phone:818-424-5123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-08
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)