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Organization
GOANDA
Active
Organization
GOANDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAERT KHACHATRYAN (CEO)
(818) 452-5223
Entity
Organization
Contact information
Practice address
671 W BROADWAY STE 105, GLENDALE, CA 91204-1007
(818) 452-5223
(818) 452-5223
Mailing address
671 W BROADWAY STE 105, GLENDALE, CA 91204-1007
(818) 452-5223
(818) 452-5223
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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