Healthcare Provider Details

I. General information

NPI: 1013121763
Provider Name (Legal Business Name): SUNSHINE ADULT DAY HEALTH CARE CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6939 VAN NUYS
VAN NUYS CA
91405
US

IV. Provider business mailing address

6939 VAN NUYS
VAN NUYS CA
91405
US

V. Phone/Fax

Practice location:
  • Phone: 818-988-7779
  • Fax:
Mailing address:
  • Phone: 818-988-7779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANAIT KHACHATRYAN
Title or Position: CEO
Credential:
Phone: 818-988-7779