Provider Demographics
NPI:1215250469
Name:ALIGNED HEALTHCARE GROUP, LLC
Entity type:Organization
Organization Name:ALIGNED HEALTHCARE GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAOUF
Authorized Official - Middle Name:
Authorized Official - Last Name:KHALIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-551-6164
Mailing Address - Street 1:860 HAMPSHIRE RD STE A
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2806
Mailing Address - Country:US
Mailing Address - Phone:805-551-6164
Mailing Address - Fax:805-379-0267
Practice Address - Street 1:860 HAMPSHIRE RD STE A
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2806
Practice Address - Country:US
Practice Address - Phone:805-551-6164
Practice Address - Fax:805-379-0267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-02
Last Update Date:2010-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36526251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health