Provider Demographics
NPI:1144799735
Name:MD PREFERRED HOME HEALTH INC
Entity Type:Organization
Organization Name:MD PREFERRED HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AMBARTSUM
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOPIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-484-0006
Mailing Address - Street 1:12631 IMPERIAL HWY STE D120
Mailing Address - Street 2:
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-6747
Mailing Address - Country:US
Mailing Address - Phone:562-484-0006
Mailing Address - Fax:562-484-0007
Practice Address - Street 1:12631 IMPERIAL HWY STE D120
Practice Address - Street 2:
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-6747
Practice Address - Country:US
Practice Address - Phone:562-484-0006
Practice Address - Fax:562-484-0007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health