Provider Demographics
NPI:1518731868
Name:COMFORTZONECAL LLC
Entity Type:Organization
Organization Name:COMFORTZONECAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSEE
Authorized Official - Prefix:MRS
Authorized Official - First Name:AKHTAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSHANAEIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-430-0075
Mailing Address - Street 1:13303 REEDLEY ST
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-4021
Mailing Address - Country:US
Mailing Address - Phone:310-430-0075
Mailing Address - Fax:
Practice Address - Street 1:13303 REEDLEY ST
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-4021
Practice Address - Country:US
Practice Address - Phone:310-430-0075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility