Healthcare Provider Details

I. General information

NPI: 1588878516
Provider Name (Legal Business Name): SHERMAN WAY ADULT DAY HEALTH CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18301 SHERMAN WAY
RESEDA CA
91335-4425
US

IV. Provider business mailing address

18301 SHERMAN WAY
RESEDA CA
91335-4425
US

V. Phone/Fax

Practice location:
  • Phone: 818-654-0123
  • Fax: 818-654-0121
Mailing address:
  • Phone: 818-654-0123
  • Fax: 818-654-0121

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: MR. HAROLD JOON PYUN
Title or Position: ADMINISTRATOR
Credential: MSW, PHD (ABD)
Phone: 818-654-0123