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NPI Code Detail

MEDICARE: INFINITY HOME HEALTH SERVICE, INC

MEDICARE: INFINITY HOME HEALTH SERVICE, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyCA

General Provider Information

NPI Number : 1033231469
Entity Type Code : Organization
Provider Name (Legal Business Name) : INFINITY HOME HEALTH SERVICE, INC
Provider Business Mailing Address
First Line : 1741 SILVER LAKE BLVD # 2B
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-1221
Country : US
Telephone Number : 323-644-3533
Fax Number : 323-644-3506
Provider Business Practice Location Address
First Line : 1741 SILVER LAKE BLVD # 2B
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-1221
Country : US
Telephone Number : 323-644-3533
Fax Number : 323-644-3506
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. CRISTINA MATA
Credential :
Telephone Number : 323-644-3533
Provider Enumeration Date : 04/05/2007
Last Update Date : 01/02/2008

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Directions to “INFINITY HOME HEALTH SERVICE, INC ” Practice Location

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