Organization
SUNNYSIDE CONGREGATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIGRAN SIMONYAN (CEO)
(747) 324-1410
Entity
Organization
Contact information
Practice address
9853 MELVIN AVE, NORTHRIDGE, CA 91324-1636
(747) 324-1410
Mailing address
9853 MELVIN AVE, NORTHRIDGE, CA 91324-1636
(747) 324-1410
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/11/2025
Last updated
01/11/2025
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