Provider Demographics
NPI:1770390502
Name:HEALTH FORCE ONE - NURSING PC
Entity type:Organization
Organization Name:HEALTH FORCE ONE - NURSING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & PREDSIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GAREGIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MELKONYAN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:747-367-1041
Mailing Address - Street 1:9918 3/8 SUNLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:SUNLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91040-1530
Mailing Address - Country:US
Mailing Address - Phone:747-367-1041
Mailing Address - Fax:
Practice Address - Street 1:11513 BURBANK BLVD
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-2309
Practice Address - Country:US
Practice Address - Phone:747-367-1041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty