Provider Demographics
NPI:1366236044
Name:L.A. ENHANCED CARE MANAGEMENT INC.
Entity type:Organization
Organization Name:L.A. ENHANCED CARE MANAGEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARKIS
Authorized Official - Middle Name:
Authorized Official - Last Name:AZATYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-427-7417
Mailing Address - Street 1:11856 BALBOA BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-2753
Mailing Address - Country:US
Mailing Address - Phone:818-427-7417
Mailing Address - Fax:
Practice Address - Street 1:7231 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2718
Practice Address - Country:US
Practice Address - Phone:818-427-7417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251X00000XAgenciesSupports Brokerage
No253Z00000XAgenciesIn Home Supportive Care
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No332U00000XSuppliersHome Delivered Meals
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty