Petit Ave Inc.
NPI #1669965349 in Winnetka, California
Provider Information
- NPI Number
- 1669965349
- Entity Type
- Organization
- Organization Name
- Petit Ave Inc.
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Jun 7, 2018
- Last Updated
- Jun 25, 2019
Practice Location
- Address
- 6719 QUAKERTOWN AVE
- City
- Winnetka
- State
- California
- ZIP Code
- 91306-4336
- Phone
- (818) 945-4374
Authorized Official
- Name
- MR. EDGAR GHAZARYAN, RRT, RCP
- Title
- CEO
- Phone
- (818) 945-4374
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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