Healthcare Provider Details

I. General information

NPI: 1114957958
Provider Name (Legal Business Name): SAN FERNANDO VALLEY ADHC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10660 WHITE OAK AVENUE SUITE C
GRANADA HILLS CA
91344
US

IV. Provider business mailing address

10660 WHITE OAK AVENUE SUITE C
GRANADA HILLS CA
91344
US

V. Phone/Fax

Practice location:
  • Phone: 818-832-1418
  • Fax: 818-493-1370
Mailing address:
  • Phone: 818-832-1418
  • Fax: 818-493-1370

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: ANNA MARDAN
Title or Position: OWNER
Credential:
Phone: 818-832-1418