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Santa Ani Healthcare

Home Health in Van Nuys, CA. Organization (NPI-2).

NPI number1336714435
StatusActive
Last updated in NPPESNov 5, 2023

Details

NPI
1336714435
Entity type
Organization (NPI-2)
Legal business name
Santa Ani Healthcare
Organization subpart
No
Enumeration date
May 21, 2021
Certification date
Nov 5, 2023
Last updated
Nov 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

14543 Friar Street Suite 299
Van Nuys, CA 91411

Phone 904-990-0099

Mailing address

14543 Friar Street Suite 299
Van Nuys, CA 91411

Authorized official

Seryozha Vardazaryan
Ceo
9049900099

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