Healthcare Provider Details

I. General information

NPI: 1245733005
Provider Name (Legal Business Name): OXNARD HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2018
Last Update Date: 10/13/2021
Certification Date: 10/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3539 OCEAN VIEW BLVD STE 1
GLENDALE CA
91208-3409
US

IV. Provider business mailing address

3539 OCEAN VIEW BLVD STE 1
GLENDALE CA
91208-3409
US

V. Phone/Fax

Practice location:
  • Phone: 747-255-1505
  • Fax: 818-797-3033
Mailing address:
  • Phone: 747-255-1505
  • Fax: 818-797-3033

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: GURGEN OGANESYAN
Title or Position: CEO
Credential:
Phone: 747-255-1505