Healthcare Provider Details

I. General information

NPI: 1053810937
Provider Name (Legal Business Name): HAPPY MOMENTS ADHC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2018
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12112 VENICE BLVD
LOS ANGELES CA
90066-3812
US

IV. Provider business mailing address

12112 VENICE BLVD
LOS ANGELES CA
90066-3812
US

V. Phone/Fax

Practice location:
  • Phone: 818-679-2322
  • Fax:
Mailing address:
  • Phone: 818-679-2322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. NARBEH BABAIANS
Title or Position: CEO
Credential:
Phone: 818-679-2322