# LA HOME HEALTH AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245893486
- **Authorized official:** ALEXANDER LYUBENKOV (CEO/ADMIN)
- **Authorized official phone:** (818) 434-1921

## Contact information

- **Practice address:** 21133 VICTORY BLVD STE 215, CANOGA PARK, CA 91303-4006
- **Practice address phone:** (310) 562-7382
- **Mailing address:** 21801 BURBANK BLVD UNIT 68, WOODLAND HILLS, CA 91367-6415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/14/2019
- **Last updated:** 04/14/2019