Healthcare Provider Details

I. General information

NPI: 1245084870
Provider Name (Legal Business Name): MONTROSE ADHC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2024
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2925 HONOLULU AVE
LA CRESCENTA CA
91214-3912
US

IV. Provider business mailing address

2925 HONOLULU AVE
LA CRESCENTA CA
91214-3912
US

V. Phone/Fax

Practice location:
  • Phone: 818-369-7006
  • Fax: 818-369-7007
Mailing address:
  • Phone: 818-369-7006
  • Fax: 818-367-7007

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: MRS. HILDA HACOBIAN
Title or Position: TREASURER/SECRETARY
Credential:
Phone: 818-481-9090