Individual provider · Type 1 NPI
Sirak Minasyan
Physical Disabilities Residential Treatment Facility · Reseda, CA
NPI number
1104248400
Active
Practice location
6840 Nestle Ave
Reseda, CA 91335-4542
Fax (559) 435-9990
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | None listed |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
About NPI 1104248400
Sirak Minasyan's National Provider Identifier is 1104248400, issued on Jan 6, 2014. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Reseda, CA. The record was last updated on Jan 6, 2014.