Healthcare Provider Details

I. General information

NPI: 1063529816
Provider Name (Legal Business Name): YOUR DAY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15719 VANOWEN ST
VAN NUYS CA
91406-5030
US

IV. Provider business mailing address

15719 VANOWEN ST # 21
VAN NUYS CA
91406-5030
US

V. Phone/Fax

Practice location:
  • Phone: 818-781-8777
  • Fax: 818-781-8775
Mailing address:
  • Phone: 818-781-8777
  • Fax: 818-781-8775

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: MRS. GILDA K. ROSTAMIAN
Title or Position: PRESIDENT
Credential: MSRD
Phone: 818-781-8777