Healthcare Provider Details

I. General information

NPI: 1942313754
Provider Name (Legal Business Name): UNIVERSAL ADULT DAY HEALTH CARE CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3847 GRAND VIEW BLVD
LOS ANGELES CA
90066
US

IV. Provider business mailing address

3847 GRAND VIEW BLVD
LOS ANGELES CA
90066
US

V. Phone/Fax

Practice location:
  • Phone: 310-915-5252
  • Fax: 310-915-0707
Mailing address:
  • Phone: 310-915-5252
  • Fax: 310-915-0707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number060000633
License Number StateCA

VIII. Authorized Official

Name: MR. PHILLIP OGANESYAN
Title or Position: CEO
Credential: FNP
Phone: 310-915-5252