Provider Demographics
NPI:1972205797
Name:ALPINA HEALTHCARE CENTER
Entity Type:Organization
Organization Name:ALPINA HEALTHCARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONA
Authorized Official - Middle Name:
Authorized Official - Last Name:UNDZHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-287-7570
Mailing Address - Street 1:14637 W. PLUMMER ST.
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-1016
Mailing Address - Country:US
Mailing Address - Phone:818-287-7570
Mailing Address - Fax:818-287-7585
Practice Address - Street 1:14637 W. PLUMMER ST.
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-1016
Practice Address - Country:US
Practice Address - Phone:818-287-7570
Practice Address - Fax:818-287-7585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility