Healthcare Provider Details

I. General information

NPI: 1528181831
Provider Name (Legal Business Name): DUGLAS HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 08/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1404 W SUNSET BLVD
LOS ANGELES CA
90026-3432
US

IV. Provider business mailing address

1404 W SUNSET BLVD
LOS ANGELES CA
90026-3432
US

V. Phone/Fax

Practice location:
  • Phone: 213-250-9364
  • Fax: 213-250-9376
Mailing address:
  • Phone: 213-250-9364
  • Fax: 213-250-9376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number000219155700019
License Number StateCA

VIII. Authorized Official

Name: MR. GAYANE NALCHADZHYAN
Title or Position: PRESEDENT
Credential:
Phone: 818-667-6903