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General NPI Number Information
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NPI Number | 1144081126
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Entity Type | Organization
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Legal Business Name | EPIC ASSISTANCE CARE HOME
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Dates
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Enumeration Date | 01/17/2024
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 26751 CARRETAS DR
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City | MISSION VIEJO
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State | CA
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Zip | 92691-5135
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Country | US
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Telephone | 818-220-0281
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Fax |
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Provider Business Mailing Address
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Address Line | 9950 RICHEON AVE
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City | DOWNEY
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State | CA
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Zip | 90240-3744
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | LIZA MESDJIAN
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Credential |
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Telephone | 818-220-0282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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