Organization
NEW SUNRISE ADULT DAY HEALTH CARE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AIDA KHRIMIAN MA (ADMINISTRATOR)
(818) 701-0010
Entity
Organization
Contact information
Practice address
9350 RESEDA BLVD, NORTHRIDGE, CA 91324-2926
(818) 101-0010
(818) 701-0090
Mailing address
9350 RESEDA BLVD, NORTHRIDGE, CA 91324-2926
(818) 101-0010
(818) 701-0090
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
060000931
CA
332U00000X
Home Delivered Meals
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7509735
—
CA
01
—
ADU70409F
MEDICAL PROVIDER NUMBER
CA
Enumeration date
12/05/2006
Last updated
09/28/2022
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