Healthcare Provider Details

I. General information

NPI: 1447046651
Provider Name (Legal Business Name): LAZAR HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 N ALTADENA DR STE 214
PASADENA CA
91107-7317
US

IV. Provider business mailing address

40 N ALTADENA DR STE 214
PASADENA CA
91107-7317
US

V. Phone/Fax

Practice location:
  • Phone: 626-314-2960
  • Fax: 626-380-4587
Mailing address:
  • Phone: 626-314-2960
  • Fax: 626-380-4587

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: VAHE MNATSAKANYAN
Title or Position: CEO
Credential:
Phone: 626-314-2960