Healthcare Provider Details

I. General information

NPI: 1801335708
Provider Name (Legal Business Name): ALTHEAZ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2017
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

357 E CARSON ST STE 212
CARSON CA
90745-2730
US

IV. Provider business mailing address

357 E CARSON ST STE 212
CARSON CA
90745-2730
US

V. Phone/Fax

Practice location:
  • Phone: 424-479-4440
  • Fax: 424-479-4445
Mailing address:
  • Phone: 424-479-4440
  • Fax: 424-479-4445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. TIGRAN OHANYAN
Title or Position: CEO
Credential:
Phone: 424-479-4440