Organization
AMERIOX, INC
Active
Other names
FANTASIA HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BIJAN ESHAGHIAN (BILLING MANAGER)
(818) 442-0008
Entity
Organization
Contact information
Practice address
14555 HAMLIN ST, SUITE# 5, VAN NUYS, CA 91411-1612
(818) 442-0008
(818) 442-0009
Mailing address
1945 PALO VERDE AVE, SUITE 210, LONG BEACH, CA 90815-3443
(877) 799-4321
(562) 799-1934
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA70289G
—
CA
Enumeration date
09/26/2006
Last updated
08/22/2020
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