Healthcare Provider Details

I. General information

NPI: 1306305792
Provider Name (Legal Business Name): PACIFIC CARE GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2019
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5955 DE SOTO AVE STE 140
WOODLAND CA
91367-5107
US

IV. Provider business mailing address

5955 DE SOTO AVE STE 140
WOODLAND CA
91367-5107
US

V. Phone/Fax

Practice location:
  • Phone: 818-741-2541
  • Fax: 424-208-1678
Mailing address:
  • Phone: 818-741-2541
  • Fax: 424-208-1678

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: MR. MHER FILMARDIROSSIAN
Title or Position: CEO
Credential:
Phone: 818-741-2541