Provider Demographics
NPI:1437315108
Name:EXPRESS SERVICES HEALTHCARE, INC.
Entity Type:Organization
Organization Name:EXPRESS SERVICES HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KYURUMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-990-9003
Mailing Address - Street 1:14429 VENTURA BLVD.
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423
Mailing Address - Country:US
Mailing Address - Phone:818-990-9003
Mailing Address - Fax:818-990-1913
Practice Address - Street 1:14429 VENTURA BLVD.
Practice Address - Street 2:SUITE 103
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423
Practice Address - Country:US
Practice Address - Phone:818-990-9003
Practice Address - Fax:818-990-1913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-01
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059659Medicare Oscar/Certification