Provider Demographics
NPI:1487929162
Name:LA GUARDIAN HEALTH CARE INC
Entity type:Organization
Organization Name:LA GUARDIAN HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROUZANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVITIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-273-9807
Mailing Address - Street 1:6501 FOOTHILL BLVD
Mailing Address - Street 2:SUITE 203B
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-2765
Mailing Address - Country:US
Mailing Address - Phone:818-273-9807
Mailing Address - Fax:818-495-2523
Practice Address - Street 1:6501 FOOTHILL BLVD
Practice Address - Street 2:SUITE 203B
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2765
Practice Address - Country:US
Practice Address - Phone:818-273-9807
Practice Address - Fax:818-495-2523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health