Healthcare Provider Details

I. General information

NPI: 1891627576
Provider Name (Legal Business Name): CULVER CITY OPERATIONS WEST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3975 OVERLAND AVE
CULVER CITY CA
90232-3722
US

IV. Provider business mailing address

3975 OVERLAND AVE
CULVER CITY CA
90232-3722
US

V. Phone/Fax

Practice location:
  • Phone: 310-836-5854
  • Fax: 310-836-5854
Mailing address:
  • Phone: 310-836-5854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NIRJARA ACHARYA
Title or Position: VICE PRESIDENT OF OPERATIONS
Credential:
Phone: 562-450-1090