NPI 1437367646
Ellenbogen House
Practice location
- Address
- 7843 Ellenbogen St, Sunland, CA 91040-2213
- Phone
- (818) 352-9277
- Fax
- (626) 793-9847
- Mailing address
- 1802 N Madison Ave, Pasadena, CA 91104-1236
Authorised official
- Name
- Edith Avanzado
- Title
- Licensee
- Phone
- (818) 352-9277
Registered specialties
Intellectual Disabilities Intermediate Care Facility
Primary
Registry record
- NPI
- 1437367646
- Entity type
- Organization
- NPI issued
- 19 May 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.