Healthcare Provider Details

I. General information

NPI: 1144173105
Provider Name (Legal Business Name): AM3 CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/19/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1149 APPLETON RD
SIMI VALLEY CA
93065-5120
US

IV. Provider business mailing address

1149 APPLETON RD
SIMI VALLEY CA
93065-5120
US

V. Phone/Fax

Practice location:
  • Phone: 747-237-0417
  • Fax:
Mailing address:
  • Phone: 747-237-0417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MYLINE OLIVAS
Title or Position: OWNER
Credential: CEO
Phone: 747-237-0417