Healthcare Provider Details

I. General information

NPI: 1790608065
Provider Name (Legal Business Name): KERN RIVER VALLEY CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6405 LAKE ISABELLA BOULEVARD
LAKE ISABELLA CA
93240
US

IV. Provider business mailing address

6405 LAKE ISABELLA BOULEVARD
LAKE ISABELLA CA
93240
US

V. Phone/Fax

Practice location:
  • Phone: 818-748-7013
  • Fax:
Mailing address:
  • Phone: 818-748-7013
  • 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: TIGRAN ARUTYUNYAN
Title or Position: CEO
Credential:
Phone: 818-748-7013