Healthcare Provider Details

I. General information

NPI: 1215963434
Provider Name (Legal Business Name): OLYMPUS ADHC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 04/18/2024
Certification Date: 01/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7338 CANBY AVE
RESEDA CA
91335-3010
US

IV. Provider business mailing address

7338 CANBY AVE
RESEDA CA
91335-3010
US

V. Phone/Fax

Practice location:
  • Phone: 818-996-1100
  • Fax: 818-996-6065
Mailing address:
  • Phone: 818-996-1100
  • Fax: 818-996-6065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number060000809
License Number StateCA

VIII. Authorized Official

Name: RAMIN ABRISHAMCHIAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 818-456-9806