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General NPI Number Information
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NPI Number | 1104776103
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Entity Type | Organization
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Legal Business Name | CBAS HEALTHCARE GROUP, INC.
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 2775 W LINCOLN AVE
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City | ANAHEIM
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State | CA
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Zip | 92801-6332
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Country | US
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Telephone | 818-416-1117
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Fax |
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Provider Business Mailing Address
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Address Line | 934 FLINTRIDGE AVE
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City | LA CANADA
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State | CA
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Zip | 91011-3905
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Country | US
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Telephone | 818-416-1117
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | MARIANA MIRZOYAN
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Credential | RN
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Telephone | 818-416-1117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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