Healthcare Provider Details

I. General information

NPI: 1093639312
Provider Name (Legal Business Name): ALLIED LA HOUSING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1552 S HOBART BLVD
LOS ANGELES CA
90006-4244
US

IV. Provider business mailing address

9777 WILSHIRE BLVD STE 400
BEVERLY HILLS CA
90212-1900
US

V. Phone/Fax

Practice location:
  • Phone: 424-438-2138
  • Fax:
Mailing address:
  • Phone: 424-438-2138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. BROGAN SHIRAZI
Title or Position: CEO
Credential:
Phone: 818-800-1205