Provider Demographics
NPI:1639313372
Name:HARVARD HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:HARVARD HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANJYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-502-9997
Mailing Address - Street 1:126 S JACKSON ST
Mailing Address - Street 2:STE 205
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-4922
Mailing Address - Country:US
Mailing Address - Phone:818-502-9996
Mailing Address - Fax:818-502-9997
Practice Address - Street 1:126 S JACKSON ST
Practice Address - Street 2:STE 205
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4922
Practice Address - Country:US
Practice Address - Phone:818-434-5987
Practice Address - Fax:818-230-0484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-24
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health