Provider Demographics
NPI:1760695969
Name:PARADISE ADULT DAY HEALTH CARE CENTER, INC.
Entity Type:Organization
Organization Name:PARADISE ADULT DAY HEALTH CARE CENTER, INC.
Other - Org Name:PARADISE ADULT DAY HEALTH CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDRANIK
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAKARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-660-1647
Mailing Address - Street 1:4414 SANTA MONICA BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90029-2014
Mailing Address - Country:US
Mailing Address - Phone:323-660-1647
Mailing Address - Fax:323-661-4226
Practice Address - Street 1:4414 SANTA MONICA BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90029-2014
Practice Address - Country:US
Practice Address - Phone:323-660-1647
Practice Address - Fax:323-661-4226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care