Organization
PERSIAN-AMERICAN ADULT DAY HEALTH CARE CENTER, INC.
Active
Other names
Forever Young Adult Day Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHMOND TOMASIAN MSW (OWNER)
(818) 456-9806
Entity
Organization
Contact information
Practice address
9820 TOPANGA CANYON BLVD, SUITE F, CHATSWORTH, CA 91311-4025
(818) 775-0377
(818) 775-0038
Mailing address
9820 TOPANGA CANYON BLVD, SUITE F, CHATSWORTH, CA 91311-4025
(818) 775-0377
(818) 775-0038
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
060000852
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ADU70334F
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
04/18/2007
Last updated
12/03/2024
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