Healthcare Provider Details
I. General information
NPI: 1366351603
Provider Name (Legal Business Name): PARADISE ADHC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8915 WOODMAN AVE
ARLETA CA
91331-6402
US
IV. Provider business mailing address
10253 COMMERCE AVE
TUJUNGA CA
91042-2314
US
V. Phone/Fax
- Phone: 818-601-0013
- Fax:
- Phone: 818-601-0013
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
KNARIK
NAR
DAVTYAN
Title or Position: CEO
Credential:
Phone: 818-601-0013