Healthcare Provider Details

I. General information

NPI: 1346431202
Provider Name (Legal Business Name): LVGS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2007
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 W MAGNOLIA BLVD
BURBANK CA
91506-1832
US

IV. Provider business mailing address

1320 W MAGNOLIA BLVD
BURBANK CA
91506-1832
US

V. Phone/Fax

Practice location:
  • Phone: 818-729-9191
  • Fax:
Mailing address:
  • Phone: 818-729-9191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELLA UNDZHYAN
Title or Position: CEO
Credential:
Phone: 818-729-9191