Healthcare Provider Details

I. General information

NPI: 1952583064
Provider Name (Legal Business Name): SILVER STRAND CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2007
Last Update Date: 12/20/2019
Certification Date: 12/20/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6464 VESPER AVE
VAN NUYS CA
91411
US

IV. Provider business mailing address

6464 VESPER AVE
VAN NUYS CA
91411
US

V. Phone/Fax

Practice location:
  • Phone: 818-904-9888
  • Fax: 818-904-0888
Mailing address:
  • Phone: 818-904-9888
  • Fax: 818-904-0888

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: ELIZABETH O'BYRRE
Title or Position: MANAGER
Credential:
Phone: 818-904-9888