Healthcare Provider Details

I. General information

NPI: 1346437571
Provider Name (Legal Business Name): POBEDA SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2007
Last Update Date: 09/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7235 FOOTHILL BLVD
TUJUNGA CA
91042-2718
US

IV. Provider business mailing address

7235 FOOTHILL BLVD
TUJUNGA CA
91042-2718
US

V. Phone/Fax

Practice location:
  • Phone: 818-353-3224
  • Fax: 818-353-1315
Mailing address:
  • Phone: 818-353-3224
  • Fax: 818-353-1315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number060000662
License Number StateCA

VIII. Authorized Official

Name: ALVINA TENEKEDJIAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 818-353-3224