Healthcare Provider Details

I. General information

NPI: 1487686671
Provider Name (Legal Business Name): MOUNTAINVIEW ADHC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23751 ROSCOE BLVD
WEST HILLS CA
91304-3041
US

IV. Provider business mailing address

23751 ROSCOE BLVD
WEST HILLS CA
91304-3041
US

V. Phone/Fax

Practice location:
  • Phone: 818-999-9234
  • Fax: 818-716-8030
Mailing address:
  • Phone: 818-999-9234
  • Fax: 818-716-8030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License NumberADU70266F
License Number StateCA

VIII. Authorized Official

Name: MRS. ELANA ZLATKIN
Title or Position: CFO
Credential:
Phone: 818-999-9234