MEDICARE: MR. ARMANDO PANIAGUA

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1982158598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ARMANDO PANIAGUA

Provider Business Mailing Address
First Line	:	7251 OWENSMOUTH AVE
Second Line	:	SUITE 4
City	:	CANOGA PARK
State	:	CA
Zip	:	91303-1517
Country	:	US
Telephone Number	:	818-582-1750
Fax Number	:	866-716-0362

Provider Business Practice Location Address
First Line	:	7251 OWENSMOUTH AVE
Second Line	:	SUITE 4
City	:	CANOGA PARK
State	:	CA
Zip	:	91303-1517
Country	:	US
Telephone Number	:	818-582-1750
Fax Number	:	866-716-0362

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2016
Last Update Date	:	08/11/2016

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