Healthcare Provider Details

I. General information

NPI: 1487728184
Provider Name (Legal Business Name): HOLLYWOOD ADULT DAY HEALTH CARE INC DBA DAYLIGHT-HOLLYWOOD ADULT DAY HEALTH CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 SANTA MONICA BLVD SUITE 100
LOS ANGELES CA
90029
US

IV. Provider business mailing address

5300 SANTA MONICA BLVD STE 317
LOS ANGELES CA
90029-1259
US

V. Phone/Fax

Practice location:
  • Phone: 323-464-2066
  • Fax: 323-464-0629
Mailing address:
  • Phone: 323-960-1701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number060000632
License Number StateCA

VIII. Authorized Official

Name: ARPI ANDONIAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 323-960-1701