Provider Demographics
NPI:1992583462
Name:TARZANA HOSPICE AND PALLIATIVE CARE
Entity type:Organization
Organization Name:TARZANA HOSPICE AND PALLIATIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NVARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BALYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-400-2611
Mailing Address - Street 1:1515 SCHENONE CT APT A
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-3208
Mailing Address - Country:US
Mailing Address - Phone:818-400-2611
Mailing Address - Fax:
Practice Address - Street 1:6047 TAMPA AVE STE 101
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-1166
Practice Address - Country:US
Practice Address - Phone:818-400-2611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based