Healthcare Provider Details
I. General information
NPI: 1932034659
Provider Name (Legal Business Name): NOHO ADHC INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11702 VICTORY BLVD
NORTH HOLLYWOOD CA
91606-3420
US
IV. Provider business mailing address
11702 VICTORY BLVD
NORTH HOLLYWOOD CA
91606-3420
US
V. Phone/Fax
- Phone: 818-210-0111
- Fax: 818-210-0436
- Phone: 818-210-0111
- Fax: 818-210-0436
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KHOREN
DICHIGRIKIAN
Title or Position: CEO
Credential:
Phone: 818-210-0111