Organization
LA SENIOR HOME INC.
Active
Organization
LA SENIOR HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIGRAN GEVORGYAN (LICENSEE)
(818) 299-7501
Entity
Organization
Contact information
Practice address
7825 SIMPSON AVE, NORTH HOLLYWOOD, CA 91605-2529
(818) 299-7501
Mailing address
8359 MELVIN AVE, NORTHRIDGE, CA 91324-4132
(818) 299-7501
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
05/16/2026
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