Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Department of Veterans Affairs of the State of California

Organization Assisted Living Facility · NPI 1821316076

Department of Veterans Affairs of the State of California is an Assisted Living Facility in Los Angeles, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

11500 Nimitz Ave
Los Angeles, CA 90049-3566
Phone: (818) 742-1752
Fax: (818) 742-1758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 550002051 (CA)
Assisted Living Facility Taxonomy 310400000X · Licence 197607966 (CA)

Record details

NPI number1821316076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ani Khachatoorian — Finance Manager · (424) 832-8551
Other names Veterans Home Of California - West Los Angeles; Veterans Home Of California - West Los Angeles
NPI enumeratedMay 12, 2010
Last updated in NPPESMay 15, 2020
Certification dateMay 15, 2020
Mailing addressPo Box 942895, Sacramento, CA 94295-0001

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