Provider Demographics
NPI:1306305792
Name:PACIFIC CARE GROUP LLC
Entity type:Organization
Organization Name:PACIFIC CARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MHER
Authorized Official - Middle Name:
Authorized Official - Last Name:FILMARDIROSSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-482-2273
Mailing Address - Street 1:15300 VENTURA BLVD STE 305
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3153
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15300 VENTURA BLVD STE 305
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3153
Practice Address - Country:US
Practice Address - Phone:818-741-2541
Practice Address - Fax:424-208-1678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-15
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health