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

Executive Medical Group LLC

Organization Case Management Agency · NPI 1194437707

Executive Medical Group LLC is a Case Management Agency in North Hollywood, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1115 Aqua Vista St Unit 405
North Hollywood, CA 91602
Phone: (310) 381-9093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X
Case Management Agency Taxonomy 251B00000X
Community Based Hospice Care Agency Taxonomy 251G00000X
Nursing Care Agency Taxonomy 251J00000X
In Home Supportive Care Agency Taxonomy 253Z00000X

Record details

NPI number1194437707
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jean-Claude Kiarash — Ceo · (310) 381-9093
NPI enumeratedDecember 15, 2022
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022
Mailing address8605 Santa Monica Blvd, West Hollywood, CA 90069-4109

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