Healthcare Provider Details

I. General information

NPI: 1245111053
Provider Name (Legal Business Name): NOR LA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4081 E OLYMPIC BLVD
LOS ANGELES CA
90023-3330
US

IV. Provider business mailing address

505 N BRAND BLVD STE 1200
GLENDALE CA
91203-3328
US

V. Phone/Fax

Practice location:
  • Phone: 323-267-0477
  • Fax:
Mailing address:
  • Phone: 818-666-0602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: AIMEE GILL
Title or Position: REGULATORY COUNSEL
Credential:
Phone: 802-233-3297