Provider Demographics
NPI:1891448700
Name:MONTEBELLO HEALTHCARE
Entity Type:Organization
Organization Name:MONTEBELLO HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARON
Authorized Official - Middle Name:HARUTUN
Authorized Official - Last Name:PETROSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-626-5550
Mailing Address - Street 1:3249 CASITAS AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-2273
Mailing Address - Country:US
Mailing Address - Phone:818-626-5550
Mailing Address - Fax:818-626-5550
Practice Address - Street 1:3249 CASITAS AVE STE 203
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-2273
Practice Address - Country:US
Practice Address - Phone:818-626-5550
Practice Address - Fax:818-626-5550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-31
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health