OrganizationActive
Acacia Hh of Southern California, LLC
NPI 1396900890 · Home Health Agency · Glendale, CA
Provider details
- NPI number
- 1396900890
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Avag Agazaryan, President(818) 241-2200
Specialties & taxonomies
Agencies
Practice location
1616 Victory Blvd
Suite 205
Glendale, CA 91201-2947
Phone: (818) 241-2200
Fax: (818) 241-0671
Approximate (ZIP-level) locationGet directions
Mailing address
1616 Victory Blvd
Glendale, CA 91201-2947
Registry dates
- Enumerated
- 2008-07-23
- Last updated
- 2023-06-22
- Certified
- 2023-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.