Healthcare Provider Details

I. General information

NPI: 1710103528
Provider Name (Legal Business Name): PERSIAN-AMERICAN ADULT DAY HEALTH CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9820 TOPANGA CANYON BLVD SUITE F
CHATSWORTH CA
91311-4025
US

IV. Provider business mailing address

9820 TOPANGA CANYON BLVD SUITE F
CHATSWORTH CA
91311-4025
US

V. Phone/Fax

Practice location:
  • Phone: 818-775-0377
  • Fax: 818-775-0038
Mailing address:
  • Phone: 818-775-0377
  • Fax: 818-775-0038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number060000852
License Number StateCA

VIII. Authorized Official

Name: RICHMOND TOMASIAN
Title or Position: OWNER
Credential: MSW
Phone: 818-456-9806