Healthcare Provider Details

I. General information

NPI: 1639635865
Provider Name (Legal Business Name): AMA HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2019
Last Update Date: 02/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14545 FRIAR ST STE 207
VAN NUYS CA
91411-2398
US

IV. Provider business mailing address

14545 FRIAR ST STE 207
VAN NUYS CA
91411-2398
US

V. Phone/Fax

Practice location:
  • Phone: 818-290-3530
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: SONA AVEDISYAN
Title or Position: CEO
Credential:
Phone: 818-290-3530