Healthcare Provider Details

I. General information

NPI: 1225241516
Provider Name (Legal Business Name): SUNNYDAY ADHC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 06/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 S KENWOOD ST
GLENDALE CA
91205-1634
US

IV. Provider business mailing address

213 S KENWOOD ST
GLENDALE CA
91205-1634
US

V. Phone/Fax

Practice location:
  • Phone: 818-637-7880
  • Fax: 818-637-2014
Mailing address:
  • Phone: 818-637-7880
  • Fax: 818-637-2014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number060000803
License Number StateCA

VIII. Authorized Official

Name: MR. ARMEN DAGBASHYAN
Title or Position: CEO
Credential: BS
Phone: 818-637-7880