MEDICARE: HEALTH DESTINATIONS, 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	251E00000X-HOME HEAL	CA

General Provider Information

NPI Number	:	1649376773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH DESTINATIONS, INC.

Provider Business Mailing Address
First Line	:	3410 N SAN FERNANDO RD STE 2
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90065-1442
Country	:	US
Telephone Number	:	323-257-5848
Fax Number	:	323-257-5848

Provider Business Practice Location Address
First Line	:	3410 N SAN FERNANDO RD STE 2
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90065-1442
Country	:	US
Telephone Number	:	323-257-5848
Fax Number	:	323-257-5848

Authorized Official
Title or Position	:	DIRECTOR OF PATIENT CARE SERVICES
Name	:	CLEVELAND S ESTRELLA
Credential	:	RN
Telephone Number	:	323-257-5848

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	07/21/2022

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