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Organization
PINE STREET HEALTHCARE PARTNERS, LLC
Active
Organization
PINE STREET HEALTHCARE PARTNERS, LLC
Active
Other names
Prime Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN SASSOVER (CHIEF EXECUTIVE OFFICER)
(818) 386-6358
Entity
Organization
Contact information
Practice address
15315 MAGNOLIA BLVD STE 401, SHERMAN OAKS, CA 91403-1175
(818) 386-6358
(818) 386-6367
Mailing address
4200 SEPULVEDA BLVD STE 101, CULVER CITY, CA 90230-4742
(818) 386-6358
(818) 386-6367
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
01/05/2024
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