Healthcare Provider Details

I. General information

NPI: 1134838022
Provider Name (Legal Business Name): PARAISO ADHC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2022
Last Update Date: 11/18/2022
Certification Date: 11/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6346 RUGBY AVE
HUNTINGTON PARK CA
90255
US

IV. Provider business mailing address

7901 ETHEL AVE
NORTH HOLLYWOOD CA
91605-1943
US

V. Phone/Fax

Practice location:
  • Phone: 323-806-0066
  • Fax:
Mailing address:
  • Phone: 323-806-0066
  • 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: ANNA SARKISYAN
Title or Position: CEO
Credential:
Phone: 818-912-6500