MEDICARE: BURBANK PATHWAY VILLA

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1285577908
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BURBANK PATHWAY VILLA

Provider Business Mailing Address
First Line	:	1029 N BUENA VISTA ST
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-2320
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1029 N BUENA VISTA ST
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-2320
Country	:	US
Telephone Number	:	707-277-2222
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MARIAM HARUTYUNYAN
Credential	:
Telephone Number	:	707-277-2222

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “BURBANK PATHWAY VILLA ” Practice Location

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