Provider Demographics
NPI:1063529816
Name:YOUR DAY, LLC
Entity type:Organization
Organization Name:YOUR DAY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GILDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:ROSTAMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSRD
Authorized Official - Phone:818-781-8777
Mailing Address - Street 1:15719 VANOWEN ST # 21
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-5030
Mailing Address - Country:US
Mailing Address - Phone:818-781-8777
Mailing Address - Fax:818-781-8775
Practice Address - Street 1:15719 VANOWEN ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-5030
Practice Address - Country:US
Practice Address - Phone:818-781-8777
Practice Address - Fax:818-781-8775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
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
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAADU70325FMedicaid