Healthcare Provider Details

I. General information

NPI: 1700328507
Provider Name (Legal Business Name): TUJUNGA HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2016
Last Update Date: 11/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10012 COMMERCE AVE STE C
TUJUNGA CA
91042-2304
US

IV. Provider business mailing address

10012 COMMERCE AVE STE C
TUJUNGA CA
91042-2304
US

V. Phone/Fax

Practice location:
  • Phone: 818-724-7031
  • Fax: 818-245-9330
Mailing address:
  • Phone: 818-724-7031
  • Fax: 818-245-9330

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: MARIA S OSES
Title or Position: CEO
Credential:
Phone: 818-724-7031