Healthcare Provider Details

I. General information

NPI: 1013674902
Provider Name (Legal Business Name): OPTIMUS HOME HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2021
Last Update Date: 11/26/2021
Certification Date: 11/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 E COLORADO BLVD STE 523
PASADENA CA
91101-2017
US

IV. Provider business mailing address

595 E COLORADO BLVD STE 523
PASADENA CA
91101-2017
US

V. Phone/Fax

Practice location:
  • Phone: 626-803-0475
  • Fax:
Mailing address:
  • Phone: 626-803-0475
  • Fax:

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: ARTHUR ASLANYAN
Title or Position: CEO
Credential:
Phone: 626-803-0475