Healthcare Provider Details

I. General information

NPI: 1043122815
Provider Name (Legal Business Name): GOLDEN DAYS ADULT DAY HEALTH CARE OF PALM DESERT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41725 COOK ST
PALM DESERT CA
92211-5100
US

IV. Provider business mailing address

716 W BROADWAY
GLENDALE CA
91204-1010
US

V. Phone/Fax

Practice location:
  • Phone: 760-933-0040
  • Fax: 760-938-0030
Mailing address:
  • Phone:
  • 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: ANGEL SAMVALIAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 760-933-0040