Healthcare Provider Details
I. General information
NPI: 1659055465
Provider Name (Legal Business Name): ASHRAM INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/12/2023
Last Update Date: 04/07/2024
Certification Date: 07/05/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7500 DISTRICT BLVD
BAKERSFIELD CA
93313-4827
US
IV. Provider business mailing address
7500 DISTRICT BLVD
BAKERSFIELD CA
93313-4827
US
V. Phone/Fax
- Phone: 818-531-2626
- Fax:
- Phone: 818-531-2626
- 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:
KHACHATUR (CHRIS)
GHASABYAN
Title or Position: COO
Credential:
Phone: 818-531-2626