Organization
SILVER WISDOM ADULT DAY HEALTHCARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIGRAN TIKO OHANIAN (CEO)
(323) 464-9161
Entity
Organization
Contact information
Practice address
1714 IVAR AVE STE A, HOLLYWOOD, CA 90028-5155
(323) 464-9161
(323) 464-9166
Mailing address
1714 IVAR AVE, HOLLYWOOD, CA 90028-5124
(323) 464-9161
(323) 464-9166
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
060000816
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ADU70314F
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
05/14/2007
Last updated
07/18/2025
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