MEDICARE: DULCE HOGAR ADULT DAY HEALTH CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center
2	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1003451691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DULCE HOGAR ADULT DAY HEALTH CENTER, LLC

Provider Business Mailing Address
First Line	:	18040 SHERMAN WAY STE 150
Second Line	:
City	:	RESEDA
State	:	CA
Zip	:	91335-4656
Country	:	US
Telephone Number	:	818-450-0088
Fax Number	:	818-450-0099

Provider Business Practice Location Address
First Line	:	18040 SHERMAN WAY STE 150
Second Line	:
City	:	RESEDA
State	:	CA
Zip	:	91335-4656
Country	:	US
Telephone Number	:	818-625-0603
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LEVON NIKOGHOSYAN
Credential	:
Telephone Number	:	818-625-0603

Provider Enumeration Date	:	11/07/2019
Last Update Date	:	06/25/2026

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