Individual
DAVID BOSTANCHYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8874 NIMBUS WAY, ORANGEVALE, CA 95662-4522
(916) 627-0305
(916) 618-4587
Mailing address
8874 NIMBUS WAY, ORANGEVALE, CA 95662-4522
(916) 627-0305
(916) 618-4587
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
342700545
CA
Other
Enumeration date
10/06/2020
Last updated
10/15/2022
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