Organization
BLOOMING CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARINE SARGSYAN (ACCOUNT MANAGER)
(818) 641-1840
Entity
Organization
Contact information
Practice address
15053 VICTORY BLVD UNIT 8, VAN NUYS, CA 91411
(818) 641-1840
(818) 955-5150
Mailing address
15053 VICTORY BLVD UNIT 8, VAN NUYS, CA 91411
(818) 641-1840
(818) 955-5150
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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