Individual provider · Type 1 NPI
Jennifer Ghahyasi
Assisted Living Facility · Anaheim, CA
NPI number
1194479527
Active
Practice location
724 S Birchleaf Dr
Anaheim, CA 92804-3241
Mailing address
3100 Roosevelt Way
Costa Mesa, CA 92626-2716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 306005637 (CA) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Another provider at this address
Other assisted living facility providers in Anaheim
About NPI 1194479527
Jennifer Ghahyasi's National Provider Identifier is 1194479527, issued on Feb 4, 2022. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Anaheim, CA. The record was last updated on Feb 4, 2022.