Healthcare Provider Details

I. General information

NPI: 1962177162
Provider Name (Legal Business Name): HAPPY VENUE ADHC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2021
Last Update Date: 12/18/2023
Certification Date: 12/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5716 LANKERSHIM BLVD
N HOLLYWOOD CA
91601-1625
US

IV. Provider business mailing address

5716 LANKERSHIM BLVD
N HOLLYWOOD CA
91601-1625
US

V. Phone/Fax

Practice location:
  • Phone: 818-731-4021
  • Fax:
Mailing address:
  • Phone: 818-731-4021
  • 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: ALBERT SAROCHANIAN
Title or Position: PRESDENT
Credential:
Phone: 818-731-4021