Provider Demographics
NPI:1912551144
Name:CARENODES
Entity Type:Organization
Organization Name:CARENODES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARARAT
Authorized Official - Middle Name:ALEX
Authorized Official - Last Name:YARIJANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:310-405-2376
Mailing Address - Street 1:600 ESPLANADE APT 201
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-4126
Mailing Address - Country:US
Mailing Address - Phone:310-405-2376
Mailing Address - Fax:
Practice Address - Street 1:8265 W SUNSET BLVD STE 207
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-2470
Practice Address - Country:US
Practice Address - Phone:310-405-2376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-25
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes305R00000XManaged Care OrganizationsPreferred Provider OrganizationGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No302F00000XManaged Care OrganizationsExclusive Provider Organization
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No405300000XOther Service ProvidersPrevention ProfessionalGroup - Multi-Specialty