MEDICARE: HAPPY VISIT HOME HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1760034219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY VISIT HOME HEALTH

Provider Business Mailing Address
First Line	:	1434 HAUSER BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-3934
Country	:	US
Telephone Number	:	310-420-4449
Fax Number	:

Provider Business Practice Location Address
First Line	:	1434 HAUSER BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-3934
Country	:	US
Telephone Number	:	310-420-4449
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DIANA HAKIMI
Credential	:
Telephone Number	:	310-420-4449

Provider Enumeration Date	:	07/15/2019
Last Update Date	:	07/15/2019

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Directions to “HAPPY VISIT HOME HEALTH ” Practice Location

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