Healthcare Provider Details

I. General information

NPI: 1184225203
Provider Name (Legal Business Name): BURBANK CITY HOME HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2020
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 LAKE BLVD STE 207
OCEANSIDE CA
92056-4600
US

IV. Provider business mailing address

3500 LAKE BLVD STE 207
OCEANSIDE CA
92056-4600
US

V. Phone/Fax

Practice location:
  • Phone: 760-400-0900
  • Fax: 888-844-5034
Mailing address:
  • Phone: 760-400-0900
  • Fax: 888-844-5034

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: XIA LIU
Title or Position: CEO
Credential:
Phone: 760-400-0900