Healthcare Provider Details

I. General information

NPI: 1366373912
Provider Name (Legal Business Name): CRYSTAL ADULT DAY HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 ARDEN AVE STE 100
GLENDALE CA
91203-1110
US

IV. Provider business mailing address

350 ARDEN AVE STE 100
GLENDALE CA
91203-1110
US

V. Phone/Fax

Practice location:
  • Phone: 747-724-9909
  • Fax: 818-484-3888
Mailing address:
  • Phone: 747-724-9909
  • Fax: 818-484-3888

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: ANUSH MNATSAKANYAN
Title or Position: CEO
Credential:
Phone: 747-724-9909