MEDICARE: KARA HEALTH, LLC

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	:	1346724853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARA HEALTH, LLC

Provider Business Mailing Address
First Line	:	369 S DOHENY DR STE 1238
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3508
Country	:	US
Telephone Number	:	310-422-5484
Fax Number	:

Provider Business Practice Location Address
First Line	:	369 S DOHENY DR STE 1238
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3508
Country	:	US
Telephone Number	:	310-422-5484
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. GURDEVAN SINGH WALIA
Credential	:
Telephone Number	:	310-422-5484

Provider Enumeration Date	:	09/20/2018
Last Update Date	:	09/20/2018

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