Organization
ACACIA HH&P OF SOUTHERN CALIFORNIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX AGAZARYAN (CEO)
(949) 335-5515
Entity
Organization
Contact information
Practice address
11770 WARNER AVE, 102, FOUNTAIN VALLEY, CA 92708-2663
(949) 335-5515
(949) 335-5519
Mailing address
11770 WARNER AVE, 102, FOUNTAIN VALLEY, CA 92708-2663
(949) 335-5515
(949) 335-5519
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
06/22/2023
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