Organization
VAN NUYS SENIOR LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARGIS AYVAZYAN (CEO)
(818) 731-6635
Entity
Organization
Contact information
Practice address
14822 COHASSET ST, VAN NUYS, CA 91405-1803
(818) 731-6635
(818) 960-0227
Mailing address
12256 RUNNYMEDE ST UNIT 2, NORTH HOLLYWOOD, CA 91605-7500
(818) 731-6635
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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