# PASADENA CONGREGATE LIVING, INC.

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

## Provider details

- **NPI number:** 1154968055
- **Authorized official:** KHACHATUR SARYAN DDS, MS (CEO)
- **Authorized official phone:** (818) 631-0770

## Contact information

- **Practice address:** 1165 N SUMMIT AVE, PASADENA, CA 91103-2655
- **Practice address phone:** (818) 679-7120
- **Practice address fax:** (747) 227-3614
- **Mailing address:** 1165 N SUMMIT AVE, PASADENA, CA 91103-2655
- **Mailing address phone:** (818) 679-7120
- **Mailing address fax:** (747) 227-3614

## Taxonomy

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

## Other

- **Enumeration date:** 12/10/2019
- **Last updated:** 12/10/2019