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NPI Code Detail

MEDICARE: LA HEALTH NET

MEDICARE: LA HEALTH NET
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 Agency

General Provider Information

NPI Number : 1164017505
Entity Type Code : Organization
Provider Name (Legal Business Name) : LA HEALTH NET
Provider Business Mailing Address
First Line : 3527 OCEAN VIEW BLVD # 103
Second Line :
City : GLENDALE
State : CA
Zip : 91208-1211
Country : US
Telephone Number : 310-666-3791
Fax Number : 818-230-9025
Provider Business Practice Location Address
First Line : 3527 OCEAN VIEW BLVD # 103
Second Line :
City : GLENDALE
State : CA
Zip : 91208-1211
Country : US
Telephone Number : 657-229-3656
Fax Number :
Authorized Official
Title or Position : CEO
Name : BLAGOVEST SHOPSKI
Credential :
Telephone Number : 310-666-3791
Provider Enumeration Date : 03/08/2021
Last Update Date : 02/13/2026

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Directions to “LA HEALTH NET ” Practice Location

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