Healthcare Provider Details

I. General information

NPI: 1003284597
Provider Name (Legal Business Name): TOTAL HEALTH CARE NETWORK INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2015
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18531 ROSCOE BLVD STE 215
NORTHRIDGE CA
91324-5975
US

IV. Provider business mailing address

18531 ROSCOE BLVD STE 215
NORTHRIDGE CA
91324-5975
US

V. Phone/Fax

Practice location:
  • Phone: 818-700-0411
  • Fax: 818-975-9995
Mailing address:
  • Phone: 818-700-0411
  • Fax: 818-975-9995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberDC27178
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A8134
License Number StateCA

VIII. Authorized Official

Name: ARA TEPELEKIAN
Title or Position: ADMINISTRATOR
Credential: MD
Phone: 818-700-0478