Organization
CELEBRITY HOMEHEALTH INC.
Active
Other names
Celebrity Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BUSTAN ACCOUNTANT (CFO/SECRETARY)
(818) 343-4001
Entity
Organization
Contact information
Practice address
942 W FOOTHILL BLVD STE B, UPLAND, CA 91786-3783
(909) 931-3888
(909) 931-3133
Mailing address
14950 VENTURA BLVD, SHERMAN OAKS, CA 91403-3455
(818) 343-4001
(818) 996-4001
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550000588
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8698138
MEDICAL
CA
Enumeration date
05/02/2007
Last updated
02/06/2024
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