Provider Demographics
NPI:1194571877
Name:AVANT-GARDE HEALTH CARE
Entity type:Organization
Organization Name:AVANT-GARDE HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KARO
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAPETYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-866-9096
Mailing Address - Street 1:1110 SONORA AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-3168
Mailing Address - Country:US
Mailing Address - Phone:844-866-9096
Mailing Address - Fax:818-937-9608
Practice Address - Street 1:1110 SONORA AVE STE 104
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-3168
Practice Address - Country:US
Practice Address - Phone:844-866-9096
Practice Address - Fax:818-937-9608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health