Healthcare Provider Details

I. General information

NPI: 1043124647
Provider Name (Legal Business Name): CANOGA PARK OPERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7945 TOPANGA CANYON BLVD
CANOGA PARK CA
91304-4733
US

IV. Provider business mailing address

7945 TOPANGA CANYON BLVD
CANOGA PARK CA
91304-4733
US

V. Phone/Fax

Practice location:
  • Phone: 818-716-9900
  • Fax:
Mailing address:
  • Phone: 818-716-9900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: NIRJARA ACHARYA
Title or Position: VPO
Credential:
Phone: 562-450-1090