Organization
ASA BROS INC
Active
Other names
vvs1 hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGEY YAZICHYAN LVN (ADMINISTRATOR/CEO)
(866) 323-8911
Entity
Organization
Contact information
Practice address
16011 BASSETT ST, VAN NUYS, CA 91406-4806
(866) 323-8611
(818) 908-0894
Mailing address
16011 BASSETT ST, VAN NUYS, CA 91406-4806
(866) 323-8611
(818) 908-0894
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
197607450
CA
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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