MEDICARE: APEX HOME 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	302R00000X	Health Maintenance Organization	550000391	CA

General Provider Information

NPI Number	:	1609066067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX HOME HEALTH CARE, INC

Provider Business Mailing Address
First Line	:	1619 1/2 VICTORY BLVD
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-3821
Country	:	US
Telephone Number	:	818-500-7167
Fax Number	:	818-500-7149

Provider Business Practice Location Address
First Line	:	1619 1/2 VICTORY BLVD
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-3821
Country	:	US
Telephone Number	:	818-500-7167
Fax Number	:	818-500-7149

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ARUSYAK SEROBYAN
Credential	:	PHARM.D.
Telephone Number	:	818-500-7167

Provider Enumeration Date	:	07/31/2007
Last Update Date	:	04/06/2009

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