# DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Veterans Home of California - West Los Angeles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821316076
- **Authorized official:** ANI KHACHATOORIAN (FINANCE MANAGER)
- **Authorized official phone:** (424) 832-8551

## Contact information

- **Practice address:** 11500 NIMITZ AVE, LOS ANGELES, CA 90049-3566
- **Practice address phone:** (818) 742-1752
- **Practice address fax:** (818) 742-1758
- **Mailing address:** PO BOX 942895, SACRAMENTO, CA 94295-0001
- **Mailing address phone:** (916) 657-9349
- **Mailing address fax:** (916) 653-1795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 197607966 | CA | — |
| 314000000X | Skilled Nursing Facility | 550002051 | CA | Yes |

## Other

- **Enumeration date:** 05/12/2010
- **Last updated:** 05/15/2020