Provider Demographics
NPI:1932831104
Name:HEALTH GOALS MONITORING
Entity Type:Organization
Organization Name:HEALTH GOALS MONITORING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAEID
Authorized Official - Middle Name:
Authorized Official - Last Name:KARANDISH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-823-9060
Mailing Address - Street 1:21500 BURBANK BLVD APT 235
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-7050
Mailing Address - Country:US
Mailing Address - Phone:818-823-9060
Mailing Address - Fax:
Practice Address - Street 1:16661 VENTURA BLVD STE 313
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1956
Practice Address - Country:US
Practice Address - Phone:818-823-9060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty