Healthcare Provider Details

I. General information

NPI: 1548179997
Provider Name (Legal Business Name): CHILD AND FAMILY DEVELOPMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13300 VENTURA BLVD
SHERMAN OAKS CA
91423-3913
US

IV. Provider business mailing address

324 S BEVERLY DR # 1123
BEVERLY HILLS CA
90212-4822
US

V. Phone/Fax

Practice location:
  • Phone: 747-999-2112
  • Fax:
Mailing address:
  • Phone: 747-999-2112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. IRENE YAYMADJIAN
Title or Position: CEO
Credential: PSYD
Phone: 747-999-2112