MEDICARE: METROPOLITAN HEALTHCARE 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	550000957	CA

General Provider Information

NPI Number	:	1942484381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPOLITAN HEALTHCARE INC

Provider Business Mailing Address
First Line	:	1680 VINE ST
Second Line	:	SUITE 604
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-8804
Country	:	US
Telephone Number	:	323-960-2533
Fax Number	:	323-315-9303

Provider Business Practice Location Address
First Line	:	1680 VINE ST
Second Line	:	SUITE 604
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-8804
Country	:	US
Telephone Number	:	323-960-2533
Fax Number	:	323-315-9303

Authorized Official
Title or Position	:	CEO
Name	:	MARIAM ZAKHARYAN
Credential	:
Telephone Number	:	323-960-2533

Provider Enumeration Date	:	12/20/2007
Last Update Date	:	03/14/2011

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