Healthcare Provider Details

I. General information

NPI: 1972719185
Provider Name (Legal Business Name): CROWN CITY ADULT DAY HEALTH CARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 N EL MOLINO AVE
PASADENA CA
91101-1805
US

IV. Provider business mailing address

122 N EL MOLINO AVE
PASADENA CA
91101-1805
US

V. Phone/Fax

Practice location:
  • Phone: 626-583-8822
  • Fax: 626-583-8844
Mailing address:
  • Phone: 626-583-8822
  • Fax: 626-583-8844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number060000645
License Number StateCA

VIII. Authorized Official

Name: MR. KHATCHAK DANNY BARSAMIAN
Title or Position: CEO
Credential:
Phone: 626-583-8822