MEDICARE: PRUDENTIAL HEALTH SYSTEMS

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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1174894240
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRUDENTIAL HEALTH SYSTEMS

Provider Business Mailing Address
First Line	:	1440 FLOWER ST STE B
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-2422
Country	:	US
Telephone Number	:	310-847-9341
Fax Number	:

Provider Business Practice Location Address
First Line	:	1440 FLOWER ST STE B
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-2422
Country	:	US
Telephone Number	:	310-847-9341
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MR. JOSE PEREZ
Credential	:
Telephone Number	:	310-847-9341

Provider Enumeration Date	:	01/22/2012
Last Update Date	:	01/22/2012

Similar Medicare Providers

1346511417 — TOP MEYER INC.
Practice Location Address:

1440 FLOWER ST STE A
GLENDALE, CA
91201-2422

Practice Phone: 818-662-9382
Practice Fax: 818-662-7199

1194666248 — MS. MEGAN ELIZABETH PANCOST MS
Practice Location Address:

744 E DORAN ST
GLENDALE, CA
91206-2422

Practice Phone: 818-241-2164
Practice Fax:

1437092624 — MRS. XOCHITL MARLENNE PEREZ GAYTAN JR.
Practice Location Address:

6618 SAN FERNANDO RD STE 211
GLENDALE, CA
91201-1703

Practice Phone: 619-305-5253
Practice Fax:

1518800564 — GOHAR ANGELICA NARINYAN PHARMD
Practice Location Address:

501 WESTERN AVE
GLENDALE, CA
91201-2870

Practice Phone: 818-242-5887
Practice Fax:

1528062874 — DR. ISSAM N KHAFAJA M.D.
Practice Location Address:

777 FLOWER ST , STE A
GLENDALE, CA
91201-3000

Practice Phone: 818-552-6230
Practice Fax: 818-888-7018

1700881430 — MS. PATRICIA SUE HESTER RNC, NP
Practice Location Address:

777 FLOWER ST STE A
GLENDALE, CA
91201-3000

Practice Phone: 818-637-2000
Practice Fax: 818-242-8761

Directions to “PRUDENTIAL HEALTH SYSTEMS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.