Provider Demographics
NPI:1942945241
Name:FIRST CHOICE HEALTH PROVIDERS, INC.
Entity Type:Organization
Organization Name:FIRST CHOICE HEALTH PROVIDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HOVIK
Authorized Official - Middle Name:
Authorized Official - Last Name:SERARDARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-358-3829
Mailing Address - Street 1:4789 VINELAND AVE STE 204B
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91602-3518
Mailing Address - Country:US
Mailing Address - Phone:818-358-3829
Mailing Address - Fax:818-301-2090
Practice Address - Street 1:4789 VINELAND AVE STE 204B
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91602-3518
Practice Address - Country:US
Practice Address - Phone:818-358-3829
Practice Address - Fax:818-301-2090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-01
Last Update Date:2022-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health