Healthcare Provider Details

I. General information

NPI: 1720637705
Provider Name (Legal Business Name): COMFORT CARE ADHC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2019
Last Update Date: 09/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23154 VALENCIA BLVD
VALENCIA CA
91355-1716
US

IV. Provider business mailing address

13705 KISMET AVE
SYLMAR CA
91342-1765
US

V. Phone/Fax

Practice location:
  • Phone: 818-903-0137
  • Fax: 818-475-1700
Mailing address:
  • Phone: 818-903-0137
  • Fax: 818-475-1700

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: VAHAN VICTOR MARUKYAN
Title or Position: PROGRAM DIRECTOR/PRESIDENT
Credential:
Phone: 818-903-0137