Provider Demographics
NPI:1659947398
Name:PRIMAMED HEALTH SERVICES INC
Entity Type:Organization
Organization Name:PRIMAMED HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDVARD
Authorized Official - Middle Name:
Authorized Official - Last Name:GEVORGYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-800-0144
Mailing Address - Street 1:171 N ALTADENA DR STE 250
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-7352
Mailing Address - Country:US
Mailing Address - Phone:626-389-1616
Mailing Address - Fax:626-387-8086
Practice Address - Street 1:171 N ALTADENA DR STE 250
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-7352
Practice Address - Country:US
Practice Address - Phone:626-389-1616
Practice Address - Fax:626-387-8086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health