Provider Demographics
NPI:1225557937
Name:HAPPY LIFE ADHC INC.
Entity type:Organization
Organization Name:HAPPY LIFE ADHC INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:KARKOTSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-205-6101
Mailing Address - Street 1:4227 LANKERSHIM BLVD
Mailing Address - Street 2:
Mailing Address - City:TOLUCA LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:91602-2856
Mailing Address - Country:US
Mailing Address - Phone:747-205-6101
Mailing Address - Fax:
Practice Address - Street 1:4227 LANKERSHIM BLVD
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91602-2856
Practice Address - Country:US
Practice Address - Phone:747-205-6101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAPPY LIGE ADHC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-13
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========Medicaid