MEDICARE: SONAFE CBAS

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	060000904	CA

General Provider Information

NPI Number	:	1366978579
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SONAFE CBAS

Provider Business Mailing Address
First Line	:	8134 FOOTHILL BLVD
Second Line	:
City	:	SUNLAND
State	:	CA
Zip	:	91040-2941
Country	:	US
Telephone Number	:	818-464-5129
Fax Number	:

Provider Business Practice Location Address
First Line	:	8134 FOOTHILL BLVD
Second Line	:
City	:	SUNLAND
State	:	CA
Zip	:	91040-2941
Country	:	US
Telephone Number	:	818-464-5129
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	ARTHUR YEGORYAN
Credential	:
Telephone Number	:	818-464-5129

Provider Enumeration Date	:	05/08/2017
Last Update Date	:	05/08/2017

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Directions to “SONAFE CBAS ” Practice Location

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