Provider Demographics
NPI:1134289598
Name:WEST COAST NURSING VENTURA, INC.
Entity Type:Organization
Organization Name:WEST COAST NURSING VENTURA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTURIK
Authorized Official - Middle Name:
Authorized Official - Last Name:GYANDZHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-496-0900
Mailing Address - Street 1:2955 E. HILLCREST DRIVE
Mailing Address - Street 2:SUITE 121
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3177
Mailing Address - Country:US
Mailing Address - Phone:805-496-0900
Mailing Address - Fax:805-496-0906
Practice Address - Street 1:2955 E HILLCREST DR
Practice Address - Street 2:SUITE 121
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3176
Practice Address - Country:US
Practice Address - Phone:805-496-0900
Practice Address - Fax:805-496-0906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health