Organization
ALTA CARE ADHC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARZAD FRED KEIVANFAR (ADMINISTRATOR)
(310) 717-3993
Entity
Organization
Contact information
Practice address
418 W 4TH ST, OXNARD, CA 93030-5912
(310) 717-3993
Mailing address
4219 BONAVITA DR, ENCINO, CA 91436-3524
(310) 717-3993
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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