Provider Demographics
NPI:1740746916
Name:KAMILA HOME HEALTH, INC.
Entity Type:Organization
Organization Name:KAMILA HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAGOUHI
Authorized Official - Middle Name:
Authorized Official - Last Name:GOZALIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-237-5777
Mailing Address - Street 1:8119 FOOTHILL BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:SUNLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91040-2904
Mailing Address - Country:US
Mailing Address - Phone:747-237-5777
Mailing Address - Fax:747-237-5700
Practice Address - Street 1:8119 FOOTHILL BLVD STE 4
Practice Address - Street 2:
Practice Address - City:SUNLAND
Practice Address - State:CA
Practice Address - Zip Code:91040-2904
Practice Address - Country:US
Practice Address - Phone:747-237-5777
Practice Address - Fax:747-237-5700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-13
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health