Organization
FIRSTMED HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKAYEL SHATVERYAN (CEO)
(818) 938-9214
Entity
Organization
Contact information
Practice address
616 GRANADA ST APT 3, GLENDALE, CA 91205-2376
(818) 938-9214
(818) 938-9219
Mailing address
616 GRANADA ST APT 3, GLENDALE, CA 91205-2376
(818) 938-9214
(818) 938-9219
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
04/02/2019
Last updated
04/02/2019
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