Healthcare Provider Details

I. General information

NPI: 1851006043
Provider Name (Legal Business Name): VIKING HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 01/23/2023
Certification Date: 01/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1445 E LOS ANGELES AVE STE 301R
SIMI VALLEY CA
93065-2862
US

IV. Provider business mailing address

1445 E LOS ANGELES AVE STE 301R
SIMI VALLEY CA
93065-2862
US

V. Phone/Fax

Practice location:
  • Phone: 323-332-6019
  • Fax: 323-540-5219
Mailing address:
  • Phone: 323-332-6019
  • Fax: 323-540-5219

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: VICTORIA AMALYAN
Title or Position: CEO
Credential:
Phone: 323-332-6019