NPI 1053719021

Pacific Home Healthcare

Organisation Health Maintenance Organization Glendale, CA

Practice location

Address: 655 N Central Ave Fl 17, Glendale, CA 91203-1439
Phone: (818) 649-7511

Authorised official

Name: Ashley Lauren Paige Hickman
Title: Owner
Phone: (818) 649-7511

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in California →

Registry record

NPI: 1053719021
Entity type: Organization
NPI issued: 8 Dec 2014
Record last updated: 8 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.