Organization
SONAFE CBAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR YEGORYAN (PROGRAM DIRECTOR)
(818) 464-5129
Entity
Organization
Contact information
Practice address
8134 FOOTHILL BLVD, SUNLAND, CA 91040-2941
(818) 464-5129
Mailing address
8134 FOOTHILL BLVD, SUNLAND, CA 91040-2941
(818) 464-5129
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
060000904
CA
Other
Enumeration date
05/08/2017
Last updated
05/08/2017
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