Healthcare Provider Details

I. General information

NPI: 1730536095
Provider Name (Legal Business Name): TUJUNGA HOME HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2016
Last Update Date: 05/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7502 FOOTHILL BLVD STE 104
TUJUNGA CA
91042-3813
US

IV. Provider business mailing address

7502 FOOTHILL BLVD STE 104
TUJUNGA CA
91042-3813
US

V. Phone/Fax

Practice location:
  • Phone: 818-325-0006
  • Fax: 818-325-0007
Mailing address:
  • Phone: 818-325-0006
  • Fax: 818-325-0007

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: HAYASTAN MARKOSYAN
Title or Position: ADMINISTRATOR/ CEO
Credential:
Phone: 818-352-0006