MEDICARE: LUSEH CBAS 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

General Provider Information

NPI Number	:	1962332007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUSEH CBAS LLC

Provider Business Mailing Address
First Line	:	4420 EAGLE ROCK BLVD
Second Line	:
City	:	EAGLE ROCK
State	:	CA
Zip	:	90041-3213
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4420 EAGLE ROCK BLVD
Second Line	:
City	:	EAGLE ROCK
State	:	CA
Zip	:	90041-3213
Country	:	US
Telephone Number	:	310-962-5858
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EDVIN TSATURYAN
Credential	:
Telephone Number	:	310-962-5858

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

Similar Medicare Providers

1750012001 — RYAN KAROS TOUCHTON
Practice Location Address:

2623 PLYMOUTH ROCK DR
WEBSTER, TX
77598-3213

Practice Phone: 713-894-2949
Practice Fax:

1396453635 — DAVID FRANCIS TALMO LMT
Practice Location Address:

111 BLUE ROCK RD
WILMINGTON, DE
19809-3213

Practice Phone: 302-290-0809
Practice Fax:

1972620284 — SANDRA D MEADOR ATC, LAT
Practice Location Address:

520 S EAGLE RD , SUITE 3213
MERIDIAN, ID
83642

Practice Phone: 208-706-2663
Practice Fax: 208-489-4300

1821314584 — ST LUKE'S REGIONAL MEDICAL CENTER
Practice Location Address:

520 S EAGLE RD , SUITE 3213
MERIDIAN, ID
83642-6351

Practice Phone: 208-287-9605
Practice Fax:

1558826347 — MISS GINA CELINE CORDERO LAT, ATC
Practice Location Address:

520 S EAGLE RD STE 3213
MERIDIAN, ID
83642-6356

Practice Phone: 208-706-2663
Practice Fax:

1538816962 — RACHAEL CHARLY HILL CNM
Practice Location Address:

520 S EAGLE RD STE 3213
MERIDIAN, ID
83642-6356

Practice Phone: 208-706-3220
Practice Fax: 208-706-3221

Directions to “LUSEH CBAS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.