Organization Name: | HEALTHY LIFE INT`L,INC |
NPI Number: | 1730118472 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HARUT GHAMBARYAN (PRESIDENT) |
Mailing Address: | 541 W Colorado St Suite 206 Glendale |
State: | CA US |
Postal Code: | 912043638 |
Phone Number: | 8186372079 |
Fax Number: | |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | TG501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |