Healthcare Provider Details

I. General information

NPI: 1447187273
Provider Name (Legal Business Name): NOR LA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4081 E OLYMPIC BLVD
LOS ANGELES CA
90023-3330
US

IV. Provider business mailing address

3828 DELMAS TER
CULVER CITY CA
90232-2713
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

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