Organization
SAMPEAH GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE KHATCHOYAN (ADMINISTRATOR)
(818) 941-5942
Entity
Organization
Contact information
Practice address
1307 W 6TH ST # 123-126, CORONA, CA 92882-3294
(951) 523-8081
Mailing address
348 E OLIVE AVE STE J, BURBANK, CA 91502-1226
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C4169124
CALIFORNIA CORPORATION
—
Enumeration date
11/24/2020
Last updated
11/24/2020
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