Provider Demographics
NPI:1659234052
Name:CORAZON HEALTH COLLECTIVE
Entity type:Organization
Organization Name:CORAZON HEALTH COLLECTIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SALOUMEH
Authorized Official - Middle Name:
Authorized Official - Last Name:YARAGHCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-709-6604
Mailing Address - Street 1:14600 SHERMAN WAY STE 250
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-2284
Mailing Address - Country:US
Mailing Address - Phone:818-998-6600
Mailing Address - Fax:818-495-4031
Practice Address - Street 1:14600 SHERMAN WAY STE 250
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-2284
Practice Address - Country:US
Practice Address - Phone:818-998-6600
Practice Address - Fax:818-495-4031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-03
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty