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Organization
MEDSTAR HOME HEALTH, INC.
Active
Organization
MEDSTAR HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICKSON CRUZ BAUTISTA DNP MSN-AGNP (SECRETARY)
(818) 967-5544
Entity
Organization
Contact information
Practice address
21221 S WESTERN AVE STE 140 ROOM 1608, TORRANCE, CA 90501-2972
(818) 967-5544
(818) 967-5445
Mailing address
21221 S WESTERN AVE STE 140 ROOM 1608, TORRANCE, CA 90501-2972
(818) 967-5544
(818) 967-5445
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CA
Enumeration date
07/02/2018
Last updated
06/18/2025
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