Organization
FULLY WELL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMAN AVETISYAN (CEO)
(818) 945-1599
Entity
Organization
Contact information
Practice address
5535 BALBOA BLVD STE 204B, ENCINO, CA 91316-1516
(818) 945-1599
(818) 864-3218
Mailing address
5535 BALBOA BLVD STE 204B, ENCINO, CA 91316-1516
(818) 945-1599
(818) 864-3218
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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