Healthcare Provider Details
I. General information
NPI: 1093640724
Provider Name (Legal Business Name): VISTA SENIOR MANAGEMENT II, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1236 ERRINGER RD STE 100
SIMI VALLEY CA
93065-4502
US
IV. Provider business mailing address
9777 WILSHIRE BLVD STE 400
BEVERLY HILLS CA
90212-1900
US
V. Phone/Fax
- Phone: 805-586-9596
- Fax:
- Phone: 805-586-9596
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIEL
ZAHARONI
Title or Position: OWNER/PRESIDENT/DESIGNEE
Credential:
Phone: 310-617-6718