Healthcare Provider Details

I. General information

NPI: 1659432284
Provider Name (Legal Business Name): HEALTH GUARD ADULT DAY HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 10/11/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5648-5652 VINELAND AVE.
NORTH HOLLYWOOD CA
91601
US

IV. Provider business mailing address

5648-5652 VINELAND AVE.
NORTH HOLLYWOOD CA
91601
US

V. Phone/Fax

Practice location:
  • Phone: 818-760-7727
  • Fax: 818-760-7747
Mailing address:
  • Phone: 818-760-7727
  • Fax: 818-760-7747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number060000657
License Number StateCA

VIII. Authorized Official

Name: MRS. MARINA ISOUNTS
Title or Position: PRESIDENT
Credential:
Phone: 818-419-9914