MEDICARE: LA GUARDIAN HEALTH CARE 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

General Provider Information

NPI Number	:	1487929162
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LA GUARDIAN HEALTH CARE INC

Provider Business Mailing Address
First Line	:	6501 FOOTHILL BLVD
Second Line	:	SUITE 203B
City	:	TUJUNGA
State	:	CA
Zip	:	91042-2765
Country	:	US
Telephone Number	:	818-273-9807
Fax Number	:	818-495-2523

Provider Business Practice Location Address
First Line	:	6501 FOOTHILL BLVD
Second Line	:	SUITE 203B
City	:	TUJUNGA
State	:	CA
Zip	:	91042-2765
Country	:	US
Telephone Number	:	818-273-9807
Fax Number	:	818-495-2523

Authorized Official
Title or Position	:	OWNER
Name	:	ROUZANNA DAVITIAN
Credential	:
Telephone Number	:	818-273-9807

Provider Enumeration Date	:	03/14/2012
Last Update Date	:	03/14/2012

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Directions to “LA GUARDIAN HEALTH CARE INC ” Practice Location

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