MEDICARE: YYZ HEALTHCARE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1528359411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YYZ HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	1323 LEONARD AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-1652
Country	:	US
Telephone Number	:	714-851-4883
Fax Number	:	213-405-5055

Provider Business Practice Location Address
First Line	:	1323 LEONARD AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-1652
Country	:	US
Telephone Number	:	714-851-4883
Fax Number	:	213-405-5055

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SERGIO VARELA
Credential	:
Telephone Number	:	714-851-4883

Provider Enumeration Date	:	04/26/2011
Last Update Date	:	04/26/2011

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