Provider Demographics
NPI:1962275495
Name:FIFTH DOC HOME HEALTH CARE
Entity type:Organization
Organization Name:FIFTH DOC HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARTUR
Authorized Official - Middle Name:
Authorized Official - Last Name:DARBINYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-594-9079
Mailing Address - Street 1:440 WESTERN AVE UNIT 105
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-2884
Mailing Address - Country:US
Mailing Address - Phone:626-594-9079
Mailing Address - Fax:626-869-4254
Practice Address - Street 1:440 WESTERN AVE UNIT 105
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-2884
Practice Address - Country:US
Practice Address - Phone:626-594-9079
Practice Address - Fax:626-869-4254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health