Provider Demographics
NPI:1780067405
Name:LA REMEDY HEALTH INC
Entity type:Organization
Organization Name:LA REMEDY HEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-446-5777
Mailing Address - Street 1:9133 S LA CIENEGA BLVD STE 270
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-7462
Mailing Address - Country:US
Mailing Address - Phone:310-446-5777
Mailing Address - Fax:844-659-7834
Practice Address - Street 1:9133 S LA CIENEGA BLVD STE 270
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-7462
Practice Address - Country:US
Practice Address - Phone:310-446-5777
Practice Address - Fax:844-659-7834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
058194Medicare Oscar/Certification