Healthcare Provider Details

I. General information

NPI: 1275201303
Provider Name (Legal Business Name): COSMOPOLITAN HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 09/02/2021
Certification Date: 09/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1737 E WASHINGTON BLVD STE 2
PASADENA CA
91104-2743
US

IV. Provider business mailing address

1737 E WASHINGTON BLVD STE 2
PASADENA CA
91104-2743
US

V. Phone/Fax

Practice location:
  • Phone: 626-365-1991
  • Fax: 626-365-1901
Mailing address:
  • Phone: 626-365-1991
  • Fax: 626-365-1901

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: ARA ISKIKIAN
Title or Position: CEO
Credential:
Phone: 626-365-1991