MEDICARE: PCAH GREATER BEVERLY HILLS

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1053269555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PCAH GREATER BEVERLY HILLS

Provider Business Mailing Address
First Line	:	350 N GLENDALE AVE # B217
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-3794
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 N GLENDALE AVE # B217
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-3794
Country	:	US
Telephone Number	:	310-975-8585
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ANDRE ORUJIAN
Credential	:
Telephone Number	:	310-975-8585

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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