Healthcare Provider Details

I. General information

NPI: 1457869349
Provider Name (Legal Business Name): OASIS ADHC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2018
Last Update Date: 01/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3271 N E ST
SAN BERNARDINO CA
92405-2617
US

IV. Provider business mailing address

700 ORANGE GROVE AVE APT 6
GLENDALE CA
91205-1727
US

V. Phone/Fax

Practice location:
  • Phone: 818-395-6175
  • Fax:
Mailing address:
  • Phone: 818-395-6175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SARKIS SARKISYAN
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 818-395-6175