Provider Demographics
NPI:1770159618
Name:GOG HOME HEALTH INC
Entity type:Organization
Organization Name:GOG HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARTUR
Authorized Official - Middle Name:
Authorized Official - Last Name:JHANGIRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-740-9813
Mailing Address - Street 1:15125 VENTURA BLVD STE 2-22
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3306
Mailing Address - Country:US
Mailing Address - Phone:818-624-6360
Mailing Address - Fax:
Practice Address - Street 1:15125 VENTURA BLVD STE 2-22
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3306
Practice Address - Country:US
Practice Address - Phone:818-624-6360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health