Organization
AVICENNA HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARUTUN TAGARYAN (OWNER)
(747) 282-1282
Entity
Organization
Contact information
Practice address
17915 VENTURA BLVD STE 222, ENCINO, CA 91316-4811
(323) 559-7915
(424) 652-5422
Mailing address
17915 VENTURA BLVD STE 222, ENCINO, CA 91316-4811
(323) 559-7915
(424) 652-5422
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/19/2018
Last updated
03/11/2025
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