Healthcare Provider Details

I. General information

NPI: 1003451691
Provider Name (Legal Business Name): DULCE HOGAR ADULT DAY HEALTH CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2019
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18040 SHERMAN WAY STE 150
RESEDA CA
91335-4656
US

IV. Provider business mailing address

18040 SHERMAN WAY STE 150
RESEDA CA
91335-4656
US

V. Phone/Fax

Practice location:
  • Phone: 818-625-0603
  • Fax:
Mailing address:
  • Phone: 818-450-0088
  • Fax: 818-450-0099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: LEVON NIKOGHOSYAN
Title or Position: CEO
Credential:
Phone: 818-625-0603