Healthcare Provider Details

I. General information

NPI: 1740978113
Provider Name (Legal Business Name): HEALTHCARE ASSOCIATES OF CALIFORNIA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2023
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 N ALLEN AVE FL 2
PASADENA CA
91104-3203
US

IV. Provider business mailing address

1060 N ALLEN AVE FL 2
PASADENA CA
91104-3203
US

V. Phone/Fax

Practice location:
  • Phone: 626-791-9004
  • Fax:
Mailing address:
  • Phone: 626-791-9004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: GEVORK OGANYAN
Title or Position: CEO
Credential:
Phone: 818-422-5559