Healthcare Provider Details

I. General information

NPI: 1396141602
Provider Name (Legal Business Name): NH HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2014
Last Update Date: 11/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16927 VANOWEN ST SUITE NUMBER 4
VAN NUYS CA
91406-4591
US

IV. Provider business mailing address

16927 VANOWEN ST SUITE NUMBER 4
VAN NUYS CA
91406-4591
US

V. Phone/Fax

Practice location:
  • Phone: 818-763-2801
  • Fax:
Mailing address:
  • Phone: 818-763-2801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP95001368
License Number StateCA

VIII. Authorized Official

Name: DR. YUZEF GUROVICH
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 818-763-2801