Healthcare Provider Details

I. General information

NPI: 1477645927
Provider Name (Legal Business Name): DARBUN ENTERPRISES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 03/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11810 SATICOY ST
NORTH HOLLYWOOD CA
91605-2848
US

IV. Provider business mailing address

11810 SATICOY ST
NORTH HOLLYWOOD CA
91605-2848
US

V. Phone/Fax

Practice location:
  • Phone: 818-982-4600
  • Fax: 818-982-6905
Mailing address:
  • Phone: 818-982-4600
  • Fax: 818-982-6905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number920000001
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number920000001
License Number StateCA

VIII. Authorized Official

Name: DR. JOHN PAUL SENSIBILE
Title or Position: HOSPITAL ADMINISTRATOR
Credential:
Phone: 818-982-4600