Organization
ACACIA HH OF SOUTHERN CALIFORNIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVAG AGAZARYAN (PRESIDENT)
(818) 241-2200
Entity
Organization
Contact information
Practice address
1616 VICTORY BLVD, SUITE 205, GLENDALE, CA 91201-2947
(818) 241-2200
(818) 241-0671
Mailing address
1616 VICTORY BLVD, SUITE 205, GLENDALE, CA 91201-2947
(818) 241-2200
(818) 241-0671
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/23/2008
Last updated
06/22/2023
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