Healthcare Provider Details

I. General information

NPI: 1730983149
Provider Name (Legal Business Name): DA VINCI HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 S FAIR OAKS AVE STE 216
PASADENA CA
91105-2082
US

IV. Provider business mailing address

107 S FAIR OAKS AVE STE 216
PASADENA CA
91105-2082
US

V. Phone/Fax

Practice location:
  • Phone: 626-681-1181
  • Fax: 626-681-1191
Mailing address:
  • Phone: 626-681-1181
  • Fax: 626-681-1191

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 TONOYAN
Title or Position: CEO
Credential:
Phone: 626-681-1181