Organization
ARARAT HOME OF LOS ANGELES, INC.
Active
Other names
Ararat Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERIK GHOOKASIAN (COO)
(323) 256-8012
Entity
Organization
Contact information
Practice address
2373 COLORADO BLVD, LOS ANGELES, CA 90041-1157
(323) 256-8012
(323) 256-8146
Mailing address
2373 COLORADO BLVD, LOS ANGELES, CA 90041-1157
(323) 256-8012
(323) 256-8146
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970000045
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55126F
—
CA
Enumeration date
02/13/2007
Last updated
07/29/2022
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