Provider Demographics
NPI:1447479035
Name:GMA MANAGEMENT GROUP, INC.
Entity type:Organization
Organization Name:GMA MANAGEMENT GROUP, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AKOP
Authorized Official - Middle Name:
Authorized Official - Last Name:BOULANIKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-686-0701
Mailing Address - Street 1:13117 VAN NUYS BLVD
Mailing Address - Street 2:
Mailing Address - City:PACOIMA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-2559
Mailing Address - Country:US
Mailing Address - Phone:818-686-0701
Mailing Address - Fax:818-686-0751
Practice Address - Street 1:13117 VAN NUYS BLVD
Practice Address - Street 2:
Practice Address - City:PACOIMA
Practice Address - State:CA
Practice Address - Zip Code:91331-2559
Practice Address - Country:US
Practice Address - Phone:818-686-0701
Practice Address - Fax:818-686-0751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
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