Healthcare Provider Details

I. General information

NPI: 1306373246
Provider Name (Legal Business Name): DOBSON HOME HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8040 ALONDRA BLVD STE C
PARAMOUNT CA
90723-4355
US

IV. Provider business mailing address

8040 ALONDRA BLVD STE C
PARAMOUNT CA
90723-4355
US

V. Phone/Fax

Practice location:
  • Phone: 310-918-1633
  • Fax: 310-341-2680
Mailing address:
  • Phone: 310-918-1633
  • Fax: 310-341-2680

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: MR. OLIVER AHAMUEFULE DURU
Title or Position: PRESIDENT
Credential:
Phone: 310-918-1633