Healthcare Provider Details

I. General information

NPI: 1063127041
Provider Name (Legal Business Name): OHANIAN NURSING CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2023
Last Update Date: 07/31/2024
Certification Date: 03/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N BRAND BLVD STE 828
GLENDALE CA
91203-4451
US

IV. Provider business mailing address

960 E GLENOAKS BLVD
GLENDALE CA
91207-1717
US

V. Phone/Fax

Practice location:
  • Phone: 818-454-2189
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ADRINEH KALANTAR OHANIAN
Title or Position: CEO
Credential: NP
Phone: 818-454-2189