Healthcare Provider Details

I. General information

NPI: 1326235532
Provider Name (Legal Business Name): FRIENDLY ADHC 2
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2007
Last Update Date: 10/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10858 OXNARD ST
NORTH HOLLYWOOD CA
91606-5021
US

IV. Provider business mailing address

10858 OXNARD ST
NORTH HOLLYWOOD CA
91606-5021
US

V. Phone/Fax

Practice location:
  • Phone: 818-509-1619
  • Fax: 818-509-1623
Mailing address:
  • Phone: 818-509-1619
  • Fax: 818-509-1623

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: ALVINA TENEKEDJIAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 818-353-3224