Provider Demographics
NPI:1962761387
Name:WEST COAST HOME HEALTH MANAGEMENT, INC.
Entity type:Organization
Organization Name:WEST COAST HOME HEALTH MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KHOREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DICHIGRIKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-994-0200
Mailing Address - Street 1:13746 VICTORY BLVD STE 311
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-6726
Mailing Address - Country:US
Mailing Address - Phone:818-994-0200
Mailing Address - Fax:
Practice Address - Street 1:13746 VICTORY BLVD STE 311
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-6726
Practice Address - Country:US
Practice Address - Phone:818-994-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-04
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health