=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942484381
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | METROPOLITAN HEALTHCARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/20/2007
-----------------------------------------------------
Last Update Date | 03/14/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1680 VINE ST SUITE 604
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90028-8804
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 323-960-2533
-----------------------------------------------------
Fax | 323-315-9303
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1680 VINE ST SUITE 604
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90028-8804
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 323-960-2533
-----------------------------------------------------
Fax | 323-315-9303
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MARIAM ZAKHARYAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 323-960-2533
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 550000957
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------