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General NPI Number Information
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NPI Number | 1710103528
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Entity Type | Organization
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Legal Business Name | PERSIAN-AMERICAN ADULT DAY HEALTH CARE CENTER, INC.
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 9820 TOPANGA CANYON BLVD SUITE F
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City | CHATSWORTH
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State | CA
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Zip | 91311-4025
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Country | US
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Telephone | 818-775-0377
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Fax | 818-775-0038
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Provider Business Mailing Address
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Address Line | 9820 TOPANGA CANYON BLVD SUITE F
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City | CHATSWORTH
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State | CA
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Zip | 91311-4025
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Country | US
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Telephone | 818-775-0377
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Fax | 818-775-0038
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Authorized Official
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Title or Position | OWNER
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Name | RICHMOND TOMASIAN
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Credential | MSW
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Telephone | 818-456-9806
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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 | 060000852
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License Number State | CA
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