Healthcare Provider Details

I. General information

NPI: 1104582550
Provider Name (Legal Business Name): AMERICAN STANDARD HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19634 VENTURA BLVD STE 223
TARZANA CA
91356-2966
US

IV. Provider business mailing address

19634 VENTURA BLVD STE 223
TARZANA CA
91356-2966
US

V. Phone/Fax

Practice location:
  • Phone: 818-660-0063
  • Fax: 818-660-0012
Mailing address:
  • Phone: 818-660-0063
  • Fax: 818-660-0012

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: MR. EDGAR KOLOZYAN
Title or Position: CEO
Credential:
Phone: 818-660-0063