| Organization Name: | PREVENTIVE HEALTH CARE LLC |
| NPI Number: | 1922292770 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROUBEN BARSEGIAN (OWNER) |
| Mailing Address: | 3901 Houma Blvd Suite 108 Metairie |
| State: | LA US |
| Postal Code: | 700062930 |
| Phone Number: | 5048850545 |
| Fax Number: | |
| NPI Enumeration Date: | 09/04/2007 |
| NPI Last Update Date: | 09/04/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |