Individual
GEVORG KHALULYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8523 TERHUNE AVE, SUN VALLEY, CA 91352-3456
(818) 962-3232
Mailing address
8523 TERHUNE AVE, SUN VALLEY, CA 91352-3456
(818) 962-3232
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197610393
CA
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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