Provider Demographics
NPI:1679273585
Name:MERCY COMMPREHENSIVE COMMUNITY
Entity type:Organization
Organization Name:MERCY COMMPREHENSIVE COMMUNITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:DR
Authorized Official - First Name:NADER
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMANIOUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-654-7990
Mailing Address - Street 1:8549 WILSHIRE BLVD STE 1149
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3104
Mailing Address - Country:US
Mailing Address - Phone:714-654-7990
Mailing Address - Fax:818-449-0924
Practice Address - Street 1:8780 VAN NUYS BLVD STE 201
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-2458
Practice Address - Country:US
Practice Address - Phone:714-654-7990
Practice Address - Fax:818-449-0924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based