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Organization
CARENODES
Active
Organization
CARENODES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARARAT ALEX YARIJANIAN MS (CEO)
(310) 405-2376
Entity
Organization
Contact information
Practice address
8265 W SUNSET BLVD STE 207, WEST HOLLYWOOD, CA 90046-2470
(310) 405-2376
Mailing address
600 ESPLANADE APT 201, REDONDO BEACH, CA 90277-4126
(310) 405-2376
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
302F00000X
Exclusive Provider Organization
—
—
302R00000X
Health Maintenance Organization
—
—
305R00000X
Preferred Provider Organization
Primary
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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