Provider Demographics
NPI:1972137891
Name:CALSTATE HEALTHCARE INC.
Entity Type:Organization
Organization Name:CALSTATE HEALTHCARE INC.
Other - Org Name:CALSTATE HALTHCARE INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZINAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:UZUNYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-922-2727
Mailing Address - Street 1:6308 WOODMAN AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-2373
Mailing Address - Country:US
Mailing Address - Phone:818-922-2727
Mailing Address - Fax:818-922-2728
Practice Address - Street 1:6308 WOODMAN AVE STE 107
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-2373
Practice Address - Country:US
Practice Address - Phone:818-922-2727
Practice Address - Fax:818-922-2728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-29
Last Update Date:2021-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health