Organization
MTB ADULT DAY CARE, INC.
Active
Other names
Montebello Adult Day Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL M. EDILIAN M.D. (PROGRAM DIRECTOR)
(323) 728-9111
Entity
Organization
Contact information
Practice address
833 W BEVERLY BLVD, MONTEBELLO, CA 90640-4239
(323) 728-9111
Mailing address
833 W BEVERLY BLVD, MONTEBELLO, CA 90640-4239
(323) 728-9111
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ADU70277G
PROVIDER NUMBER
CA
Enumeration date
12/06/2006
Last updated
08/22/2020
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