Provider Demographics
NPI:1194477893
Name:VALLEY PARADISE CBAS
Entity type:Organization
Organization Name:VALLEY PARADISE CBAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILINGIRIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-261-9595
Mailing Address - Street 1:31905 CASTAIC RD
Mailing Address - Street 2:
Mailing Address - City:CASTAIC
Mailing Address - State:CA
Mailing Address - Zip Code:91384-3982
Mailing Address - Country:US
Mailing Address - Phone:818-616-7027
Mailing Address - Fax:
Practice Address - Street 1:31905 CASTAIC RD
Practice Address - Street 2:
Practice Address - City:CASTAIC
Practice Address - State:CA
Practice Address - Zip Code:91384-3982
Practice Address - Country:US
Practice Address - Phone:818-616-7027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-24
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care