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NPI Code Detail

MEDICARE: CALIFORNIA HOME HEALTH CARE, INC.

MEDICARE: CALIFORNIA 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
1251E00000XHome Health AgencyCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1058061OTHERCAPROVIDER NUMBER

General Provider Information

NPI Number : 1750388724
Entity Type Code : Organization
Provider Name (Legal Business Name) : CALIFORNIA HOME HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 5123 W SUNSET BLVD
Second Line : SUITE 207
City : LOS ANGELES
State : CA
Zip : 90027-5779
Country : US
Telephone Number : 323-663-7904
Fax Number : 323-663-7922
Provider Business Practice Location Address
First Line : 5123 W SUNSET BLVD
Second Line : SUITE 207
City : LOS ANGELES
State : CA
Zip : 90027-5779
Country : US
Telephone Number : 323-663-7904
Fax Number : 323-663-7922
Authorized Official
Title or Position : PRESIDENT
Name : SVETLANAN GASPARIAN
Credential :
Telephone Number : 323-663-7904
Provider Enumeration Date : 07/05/2005
Last Update Date : 08/22/2020

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Directions to “CALIFORNIA HOME HEALTH CARE, INC. ” Practice Location

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