Healthcare Provider Details

I. General information

NPI: 1780282533
Provider Name (Legal Business Name): WHITE ORCHID HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2020
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16661 VENTURA BLVD STE 304
ENCINO CA
91436-1949
US

IV. Provider business mailing address

16661 VENTURA BLVD STE 304
ENCINO CA
91436-1949
US

V. Phone/Fax

Practice location:
  • Phone: 818-616-7275
  • Fax:
Mailing address:
  • Phone: 818-616-7275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MORTEZA MARDANPOUR
Title or Position: CEO
Credential:
Phone: 818-616-7275