Organization
DIAMOND HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAHIM BIDGOLI (OWNER)
(626) 741-5088
Entity
Organization
Contact information
Practice address
5530 CORBIN AVE STE 336, TARZANA, CA 91356-6042
(626) 741-5088
(818) 245-9294
Mailing address
5530 CORBIN AVE STE 336, TARZANA, CA 91356-6042
(626) 741-5088
(818) 245-9294
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059281
MEDICARE PROVIDER NUMBER
CA
01
—
2986058
CA CORPORATION NUMBER
CA
Enumeration date
05/09/2008
Last updated
02/11/2021
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