Provider Demographics
NPI:1699518340
Name:ASG HOLDINGS, INC.
Entity type:Organization
Organization Name:ASG HOLDINGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOURADIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-404-9999
Mailing Address - Street 1:1038 E GRINNELL DR
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91501-1220
Mailing Address - Country:US
Mailing Address - Phone:747-222-8555
Mailing Address - Fax:818-396-3663
Practice Address - Street 1:14205 COHASSET ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-1427
Practice Address - Country:US
Practice Address - Phone:747-222-8555
Practice Address - Fax:818-396-3663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility