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NPI Code Detail

MEDICARE: HOLLYWOOD HEALTH SYSTEM INC

MEDICARE: HOLLYWOOD HEALTH SYSTEM 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 Agency980001532CA

General Provider Information

NPI Number : 1114996154
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOLLYWOOD HEALTH SYSTEM INC
Provider Business Mailing Address
First Line : 4640 LANKERSHIM BLVD STE 100
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91602-1845
Country : US
Telephone Number : 323-662-3731
Fax Number : 323-662-3751
Provider Business Practice Location Address
First Line : 4640 LANKERSHIM BLVD STE 100
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91602-1845
Country : US
Telephone Number : 323-662-3731
Fax Number : 323-662-3751
Authorized Official
Title or Position : CEO
Name : GRIGOR ADAMYAN
Credential :
Telephone Number : 213-399-7777
Provider Enumeration Date : 03/14/2006
Last Update Date : 09/16/2022

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