Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Executive Health Laboratory

Organization Clinical Medical Laboratory · NPI 1972269959

Executive Health Laboratory is a Clinical Medical Laboratory in Reseda, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

19234 Vanowen St Ste B
Reseda, CA 91335-5000
Phone: (424) 265-9992
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1972269959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Masih Noor — Ceo · (424) 265-9992
NPI enumeratedNovember 13, 2021
Last updated in NPPESNovember 13, 2021
Certification dateSeptember 29, 2021
Mailing address17412 Ventura Blvd # 422, Encino, CA 91316-3827

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