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General NPI Number Information
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NPI Number | 1891823282
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Entity Type | Organization
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Legal Business Name | MONTEBELLO ADULT DAY HEALTH CARE INC.
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1829 S BRAND BLVD
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City | GLENDALE
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State | CA
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Zip | 91204-2902
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Country | US
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Telephone | 818-543-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 1829 S BRAND BLVD
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City | GLENDALE
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State | CA
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Zip | 91204-2902
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Country | US
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Telephone | 818-543-5900
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ALBER KARAMANOUKIAN
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Credential | M.D.
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Telephone | 818-543-5900
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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 | CA
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