# CRISTAL HOME HEALTH

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

## Provider details

- **NPI number:** 1427636224
- **Authorized official:** AVTIS TERTERYAN (CEO)
- **Authorized official phone:** (818) 484-7845

## Contact information

- **Practice address:** 4634 SAN FERNANDO RD SUITE A, GLENDALE, CA 91204
- **Practice address phone:** (818) 484-7845
- **Mailing address:** 4634 SAN FERNANDO RD SUITE A, GLENDALE, CA 91204
- **Mailing address phone:** (818) 484-7845

## Taxonomy

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

## Other

- **Enumeration date:** 04/01/2021
- **Last updated:** 04/01/2021