Healthcare Provider Details

I. General information

NPI: 1265389894
Provider Name (Legal Business Name): BEAUTIFUL LIFE ADHC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6110 VARIEL AVE STE 1A
WOODLAND HILLS CA
91367-7788
US

IV. Provider business mailing address

6110 VARIEL AVE STE 1A
WOODLAND HILLS CA
91367-7788
US

V. Phone/Fax

Practice location:
  • Phone: 818-219-1294
  • Fax:
Mailing address:
  • Phone: 818-219-1294
  • Fax:

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: AMIR MAHRABKHANI
Title or Position: CEO/CFO
Credential:
Phone: 818-960-8919