Provider Demographics
NPI:1982158598
Name:PANIAGUA, ARMANDO
Entity Type:Individual
Prefix:MR
First Name:ARMANDO
Middle Name:
Last Name:PANIAGUA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7251 OWENSMOUTH AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1517
Mailing Address - Country:US
Mailing Address - Phone:818-582-1750
Mailing Address - Fax:866-716-0362
Practice Address - Street 1:7251 OWENSMOUTH AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1517
Practice Address - Country:US
Practice Address - Phone:818-582-1750
Practice Address - Fax:866-716-0362
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care