| NPI | 1083715379 |
|---|---|
| Doing Business As | FANTASIA HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | BIJAN ESHAGHIAN Billing Manager 818-442-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |