Healthcare Provider Details

I. General information

NPI: 1174113948
Provider Name (Legal Business Name): SOCAL DIRECT HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2021
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7831 FOOTHILL BLVD STE B
SUNLAND CA
91040-2972
US

IV. Provider business mailing address

7831 FOOTHILL BLVD STE B
SUNLAND CA
91040-2972
US

V. Phone/Fax

Practice location:
  • Phone: 818-210-0185
  • Fax: 818-210-0334
Mailing address:
  • Phone: 818-210-0185
  • Fax: 818-210-0334

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: ARTIN DAVTYAN
Title or Position: CEO
Credential:
Phone: 818-210-0334