Healthy Life Intl,Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

TG501 Issued in CA

Legal business name

HEALTHY LIFE INTL,INC

Practice address

541 W Colorado St
Suite 206
Glendale, CA 91204-3638

Phone

(818) 637-2079

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Harut Ghambaryan

Title

President

Phone

(818) 637-2079

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730118472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W COLORADO ST",
            "address_2": "SUITE 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043638",
            "telephone_number": "818-637-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 W COLORADO ST",
            "address_2": "SUITE 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043638",
            "telephone_number": "818-637-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIFE INTL,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GHAMBARYAN",
        "authorized_official_first_name": "HARUT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-637-2079"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "TG501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Glendale, CA
• Providers in Glendale, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.