CANBY RETIREMENT CORPORATION NPI 1417216151

NPI Information

  • NPI: 1417216151
  • Provider Name: CANBY RETIREMENT CORPORATION
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: AMBASSADOR GARDEN
  • Address: 7324 CANBY AVE
    RESEDA, CA
    ZIP 91335
  • Phone: (818) 705-3404

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NPI Details

CANBY RETIREMENT CORPORATION is an assisted living facility in Reseda, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CANBY RETIREMENT CORPORATION NPI is 1417216151. The provider is registered as an organization entity type.
The provider Is Doing Business As Ambassador Garden.

The provider's business location address is:

7324 CANBY AVE
RESEDA, CA
ZIP 91335-010
Phone: (818) 705-3404

The provider's authorized official is Mara Gudis .
The authorized official title is President and has the following contact phone number (818) 305-2701.

The enumeration date for this NPI number is 5/15/2012 and was last updated on 5/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility197603652CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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