# GOANDA

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

## Provider details

- **NPI number:** 1275222689
- **Authorized official:** MR. LAERT KHACHATRYAN (CEO)
- **Authorized official phone:** (818) 452-5223

## Contact information

- **Practice address:** 671 W BROADWAY STE 105, GLENDALE, CA 91204-1007
- **Practice address phone:** (818) 452-5223
- **Practice address fax:** (818) 452-5223
- **Mailing address:** 671 W BROADWAY STE 105, GLENDALE, CA 91204-1007
- **Mailing address phone:** (818) 452-5223
- **Mailing address fax:** (818) 452-5223

## Taxonomy

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

## Other

- **Enumeration date:** 05/02/2023
- **Last updated:** 05/02/2023