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NPI Code Detail

MEDICARE: GOODHEALTHKARE

MEDICARE: GOODHEALTHKARE
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1811341894
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOODHEALTHKARE
Provider Business Mailing Address
First Line : 6118 MATILIJA AVE
Second Line :
City : VAN NUYS
State : CA
Zip : 91401-2920
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6118 MATILIJA AVE
Second Line :
City : VAN NUYS
State : CA
Zip : 91401-2920
Country : US
Telephone Number : 818-203-8150
Fax Number :
Authorized Official
Title or Position : MANAGER/PARTNER
Name : HOVANES KESHISHYAN
Credential :
Telephone Number : 818-203-8150
Provider Enumeration Date : 04/15/2016
Last Update Date : 04/15/2016

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Directions to “GOODHEALTHKARE ” Practice Location

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