Healthcare Provider Details

I. General information

NPI: 1023381332
Provider Name (Legal Business Name): FOOTHILL CHILD DEVELOPMENT SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2012
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16946 SHERMAN WAY STE 100
LAKE BALBOA CA
91406-3613
US

IV. Provider business mailing address

16946 SHERMAN WAY STE 100
LAKE BALBOA CA
91406-3613
US

V. Phone/Fax

Practice location:
  • Phone: 818-353-3772
  • Fax: 818-353-3776
Mailing address:
  • Phone: 818-353-3772
  • Fax: 818-353-3776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ALEK TOROSYAN
Title or Position: CEO
Credential:
Phone: 818-353-3772