Provider Demographics
NPI:1306607239
Name:HEALTHON INC.
Entity type:Organization
Organization Name:HEALTHON INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RASOUL
Authorized Official - Middle Name:M
Authorized Official - Last Name:MONTAZERI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:949-291-7563
Mailing Address - Street 1:100 SPECTRUM CENTER DR STE 900
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-4974
Mailing Address - Country:US
Mailing Address - Phone:949-668-7000
Mailing Address - Fax:
Practice Address - Street 1:22 ODESSEY, SUITE 240
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618
Practice Address - Country:US
Practice Address - Phone:949-668-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center