# MIH PROJECT A, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033697230
- **Authorized official:** JOHN GEVORGYAN (OWNER)
- **Authorized official phone:** (818) 336-6766

## Contact information

- **Practice address:** 12611 AMBOY AVE, SYLMAR, CA 91342-3606
- **Practice address phone:** (818) 334-3408
- **Mailing address:** 12611 AMBOY AVE, SYLMAR, CA 91342-3606
- **Mailing address phone:** (818) 336-6766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 550004114 | CA | Yes |

## Other

- **Enumeration date:** 07/31/2018
- **Last updated:** 02/27/2020