MEDICARE: HEDONIA MEDICAL & NURSING CENTERS 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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1700559523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEDONIA MEDICAL & NURSING CENTERS INC.

Provider Business Mailing Address
First Line	:	22940 CASS AVE
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-3917
Country	:	US
Telephone Number	:	818-687-1521
Fax Number	:

Provider Business Practice Location Address
First Line	:	22940 CASS AVE
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-3917
Country	:	US
Telephone Number	:	818-687-1521
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHERRI SALARKIA
Credential	:
Telephone Number	:	818-687-1521

Provider Enumeration Date	:	07/28/2021
Last Update Date	:	07/28/2021

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