Organization Active NPI

Socal Health Services, Inc.

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1194031955
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550001556 Issued in CA
Legal business name
SOCAL HEALTH SERVICES, INC.
Practice address
2829 N Glenoaks Blvd
Suite 202
Burbank, CA 91504-2661
Phone
(818) 563-3300
Fax
(818) 563-3301
NPI assigned
Aug 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Koko Polosajian
Title
Ceo
Phone
(818) 563-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550001556 CA Primary

Addresses

Primary practice location

2829 N Glenoaks Blvd
Suite 202
Burbank, CA 91504-2661

Mailing address

2829 N Glenoaks Blvd
Suite 202
Burbank, CA 91504-2661
Phone (818) 563-3300

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1194031955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 N GLENOAKS BLVD",
            "address_2": "SUITE 202",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042661",
            "telephone_number": "818-563-3300",
            "fax_number": "818-563-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 N GLENOAKS BLVD",
            "address_2": "SUITE 202",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042661",
            "telephone_number": "818-563-3300",
            "fax_number": "818-563-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "POLOSAJIAN",
        "authorized_official_first_name": "KOKO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-563-3300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550001556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.