Healthcare Provider Details

I. General information

NPI: 1427625334
Provider Name (Legal Business Name): MONARCH CENTER FOR DEVELOPMENTAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2021
Last Update Date: 08/25/2022
Certification Date: 08/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 E GLENOAKS BLVD STE 230
GLENDALE CA
91207-2127
US

IV. Provider business mailing address

221 E GLENOAKS BLVD STE 230
GLENDALE CA
91207-2127
US

V. Phone/Fax

Practice location:
  • Phone: 818-599-7828
  • Fax:
Mailing address:
  • Phone: 818-599-7828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANILGA TABIBIAN
Title or Position: CO-FOUNDER
Credential: PHD
Phone: 818-539-9945