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Organization
SO CAL HHA
Active
Organization
SO CAL HHA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMAN BAGIRYAN (CEO)
(818) 505-9500
Entity
Organization
Contact information
Practice address
11507 OXNARD ST STE 4, NORTH HOLLYWOOD, CA 91606-4186
(818) 505-9500
(818) 505-9505
Mailing address
11507 OXNARD ST STE 4, NORTH HOLLYWOOD, CA 91606-4186
(818) 505-9500
(818) 505-9505
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/10/2014
Last updated
06/16/2026
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