Healthcare Provider Details

I. General information

NPI: 1164206793
Provider Name (Legal Business Name): SUNLAND ADHC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2023
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8701 SUNLAND BLVD
SUN VALLEY CA
91352-2839
US

IV. Provider business mailing address

8701 SUNLAND BLVD
SUN VALLEY CA
91352-2839
US

V. Phone/Fax

Practice location:
  • Phone: 818-731-4021
  • Fax:
Mailing address:
  • Phone: 818-570-7771
  • Fax:

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: MANE SARGSYAN
Title or Position: CEO
Credential:
Phone: 818-570-7771