Healthcare Provider Details

I. General information

NPI: 1598579500
Provider Name (Legal Business Name): JOURNEY CARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14141 COVELLO ST STE 9C
VAN NUYS CA
91405-1448
US

IV. Provider business mailing address

14141 COVELLO ST STE 9C
VAN NUYS CA
91405-1448
US

V. Phone/Fax

Practice location:
  • Phone: 469-676-5378
  • Fax: 818-465-9213
Mailing address:
  • Phone: 469-676-5378
  • Fax: 818-465-9213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HAKOP KHRIMIAN
Title or Position: CEO
Credential:
Phone: 469-676-5378