MEDICARE: KRIS PAREL 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
1	251E00000X	Home Health Agency	058192	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447292198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KRIS PAREL INC.

Provider Business Mailing Address
First Line	:	2313 W OLIVE AVE
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91506-2627
Country	:	US
Telephone Number	:	323-344-0017
Fax Number	:	323-344-8900

Provider Business Practice Location Address
First Line	:	2313 W OLIVE AVE
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91506-2627
Country	:	US
Telephone Number	:	323-344-0017
Fax Number	:	323-344-8900

Authorized Official
Title or Position	:	CEO
Name	:	SUREN SHARIFOV
Credential	:
Telephone Number	:	323-344-0017

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	10/07/2019

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Directions to “KRIS PAREL INC. ” Practice Location

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