Healthcare Provider Details

I. General information

NPI: 1801756697
Provider Name (Legal Business Name): DESERT ADULT DAY HEALTH CARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 11/23/2025
Certification Date: 11/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W LORAINE ST APT 107
GLENDALE CA
91202-4423
US

IV. Provider business mailing address

333 W LORAINE ST APT 107
GLENDALE CA
91202-4423
US

V. Phone/Fax

Practice location:
  • Phone: 801-999-0900
  • Fax:
Mailing address:
  • Phone: 801-999-0900
  • 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: HAMLET KHACHATRYAN
Title or Position: CEO
Credential:
Phone: 801-999-0900