Organization
ALL STAR PHOENIX INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZARUHI VIRABYAN (CEO)
(818) 488-9299
Entity
Organization
Contact information
Practice address
17050 CHATSWORTH ST STE 222, GRANADA HILLS, CA 91344-7836
(818) 488-9299
Mailing address
17050 CHATSWORTH ST STE 222, GRANADA HILLS, CA 91344-7836
(818) 488-9299
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
CA
Enumeration date
08/16/2019
Last updated
08/16/2019
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