Provider Demographics
NPI:1801548565
Name:MILLENNIUM HEALTH SERVICES
Entity type:Organization
Organization Name:MILLENNIUM HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARCHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:BIDZHOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-745-3340
Mailing Address - Street 1:6350 SANTA MONICA BLVD STE 121-E
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90038-1620
Mailing Address - Country:US
Mailing Address - Phone:323-745-3340
Mailing Address - Fax:
Practice Address - Street 1:6350 SANTA MONICA BLVD STE 121-E
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90038-1620
Practice Address - Country:US
Practice Address - Phone:323-745-3340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-24
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health