Provider Demographics
NPI:1114394780
Name:KAZAR INC
Entity Type:Organization
Organization Name:KAZAR INC
Other - Org Name:WELLNESS ALLIANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OGANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-815-9012
Mailing Address - Street 1:2300 W SAHARA AVE FL 8-802
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-4352
Mailing Address - Country:US
Mailing Address - Phone:702-815-9012
Mailing Address - Fax:
Practice Address - Street 1:2300 W SAHARA AVE FL 8-802
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-4352
Practice Address - Country:US
Practice Address - Phone:702-815-9012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-30
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20151395597253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care