Healthcare Provider Details

I. General information

NPI: 1114686094
Provider Name (Legal Business Name): TUJUNGA HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2021
Last Update Date: 12/08/2021
Certification Date: 12/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7401 FOOTHILL BLVD UNIT A
TUJUNGA CA
91042-2721
US

IV. Provider business mailing address

7401 FOOTHILL BLVD UNIT A
TUJUNGA CA
91042-2721
US

V. Phone/Fax

Practice location:
  • Phone: 818-273-4662
  • Fax: 818-273-9712
Mailing address:
  • Phone: 818-273-4662
  • Fax: 818-273-9712

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: EMMA OSIPYAN
Title or Position: CEO
Credential:
Phone: 818-273-4662