Organization
SILVER WISDOM HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA HARTUNIAN (ECM DIRECTOR)
(818) 404-7555
Entity
Organization
Contact information
Practice address
1714 IVAR AVE UNIT D, LOS ANGELES, CA 90028-5124
(323) 464-9161
(323) 464-9166
Mailing address
1714 IVAR AVE UNIT D, LOS ANGELES, CA 90028-5124
(323) 464-9161
(323) 464-9166
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
06/21/2023
Last updated
01/30/2025
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