Healthcare Provider Details

I. General information

NPI: 1699571356
Provider Name (Legal Business Name): STAY HEALTHY COMMUNITY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 02/24/2025
Certification Date: 02/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11500 BURBANK BLVD
NORTH HOLLYWOOD CA
91601-2308
US

IV. Provider business mailing address

11500 BURBANK BLVD
NORTH HOLLYWOOD CA
91601-2308
US

V. Phone/Fax

Practice location:
  • Phone: 818-599-9971
  • Fax:
Mailing address:
  • Phone: 818-599-9971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANAHIT DJGALIAN
Title or Position: CEO
Credential:
Phone: 818-599-9971