Provider Demographics
NPI:1578305728
Name:AMOR CBAS INC.
Entity type:Organization
Organization Name:AMOR CBAS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:AHROMIZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-523-0586
Mailing Address - Street 1:2927 S SEPULVEDA BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-3912
Mailing Address - Country:US
Mailing Address - Phone:818-523-0586
Mailing Address - Fax:818-523-0586
Practice Address - Street 1:2927 S SEPULVEDA BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-3912
Practice Address - Country:US
Practice Address - Phone:818-523-0586
Practice Address - Fax:818-523-0586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care