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Organization
DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA
Active
Organization
DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA
Active
Other names
Veterans Home of California - West Los Angeles
Organization subpart
No
Provider details
NPI number
Authorized official
ANI KHACHATOORIAN (FINANCE MANAGER)
(424) 832-8551
Entity
Organization
Contact information
Practice address
11500 NIMITZ AVE, LOS ANGELES, CA 90049-3566
(818) 742-1752
(818) 742-1758
Mailing address
PO BOX 942895, SACRAMENTO, CA 94295-0001
(916) 657-9349
(916) 653-1795
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
197607966
CA
314000000X
Skilled Nursing Facility
Primary
550002051
CA
Other
Enumeration date
05/12/2010
Last updated
05/15/2020
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