Healthcare Provider Details

I. General information

NPI: 1750178091
Provider Name (Legal Business Name): ELBRUS HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9318 TAMARACK AVE
SUN VALLEY CA
91352-1325
US

IV. Provider business mailing address

9318 TAMARACK AVE
SUN VALLEY CA
91352-1325
US

V. Phone/Fax

Practice location:
  • Phone: 747-227-0707
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: EDUARD ASILBEKYAN
Title or Position: CEO
Credential:
Phone: 747-227-0707