Provider Demographics
NPI:1447506373
Name:EXPERT MEDICAL MANAGEMENT GROUP, INC.
Entity type:Organization
Organization Name:EXPERT MEDICAL MANAGEMENT GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARGARIT
Authorized Official - Middle Name:
Authorized Official - Last Name:GAVGAVYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-333-8414
Mailing Address - Street 1:2913 N GLENOAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-2606
Mailing Address - Country:US
Mailing Address - Phone:818-859-7911
Mailing Address - Fax:818-859-7912
Practice Address - Street 1:2913 N GLENOAKS BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-2606
Practice Address - Country:US
Practice Address - Phone:818-859-7911
Practice Address - Fax:818-859-7912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-30
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based