Healthcare Provider Details

I. General information

NPI: 1144700766
Provider Name (Legal Business Name): HAPPY VENUE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2018
Last Update Date: 08/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 LYNGLEN DR
GLENDALE CA
91206-2717
US

IV. Provider business mailing address

1506 LYNGLEN DR
GLENDALE CA
91206-2717
US

V. Phone/Fax

Practice location:
  • Phone: 818-731-5546
  • Fax:
Mailing address:
  • Phone:
  • 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: HASMIK SAHAKYAN
Title or Position: PRESIDENT
Credential:
Phone: 818-731-5546