Arizona Corporation Commission

Entity Information

Search Date and Time: 7/16/2025 2:34:10 AM

Entity Details

Entity Name:

PROSPECT MEDICAL GROUP AZ, INC.

Entity ID:

23146717

Entity Type:

Domestic For-Profit (Business) Corporation

Entity Status:

Inactive

Formation Date:

11/9/2020

Reason for Status:

Converted to other entity

Approval Date:

11/9/2020

Status Date:

10/19/2022

Original Incorporation Date:

11/9/2020

Life Period:

Perpetual

Business Type:

MEDICAL SERVICES

Last Annual Report Filed:

2021

Domicile State:

Arizona

Annual Report Due Date:

Years Due:

Original Publish Date:

Statutory Agent Information

Name:

C T CORPORATION SYSTEM

Appointed Status:

Active 11/9/2020

Attention:

Address:

3800 N CENTRAL AVE STE 460 , PHOENIX, AZ 85012, USA

Agent Last Updated:

10/6/2021

E-mail:

Attention:

Mailing Address:

3800 N CENTRAL AVE STE 460 , PHOENIX, AZ 85012, USA

County:

Maricopa

Principal Information

Title	Name	Address	Date of Taking Office	Last Updated
Director	Jim Brown	3415 S. SEPULVEDA BLVD, 9TH FLOOR, LOS ANGELES, CA, 90034, Los Angeles County, USA	11/9/2020	10/6/2021
CEO (Chief Executive Officer)	JAMES BROWN	3415 S SEPULVEDA BLVD.,9TH FLOOR, LOS ANGELES, CA, 90034, Los Angeles County, USA	2/16/2021	2/22/2021
COO (Chief Operating Officer)	SHERRY MCBRIDE	3415 S SEPULVEDA BLVD.,9TH FLOOR, LOS ANGELES, CA, 90034, Los Angeles County, USA	2/16/2021	2/22/2021
President	Jaime Melkonoff	3415 S SEPULVEDA BLVD.,9TH FLOOR, LOS ANGELES, CA, 90034, Los Angeles County, USA	2/16/2021	10/6/2021
Treasurer	ERIC SAMUELS	3415 S SEPULVEDA BLVD.,9TH FLOOR, LOS ANGELES, CA, 90034, Los Angeles County, USA	2/16/2021	2/22/2021

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Address

Attention:

Address: 3800 NORTH CENTRAL AVENUE, SUITE 460, PHOENIX, AZ, 85012, USA

County: Maricopa

Last Updated: 11/9/2020

Entity Principal Office Address

Attention:

Address:

County:

Last Updated: