Healthcare Provider Details

I. General information

NPI: 1285567305
Provider Name (Legal Business Name): NOHO HEALTH CENTER CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12300 CANTARA ST
NORTH HOLLYWOOD CA
91605-1345
US

IV. Provider business mailing address

12300 CANTARA ST
NORTH HOLLYWOOD CA
91605-1345
US

V. Phone/Fax

Practice location:
  • Phone: 747-977-2437
  • Fax: 818-940-0340
Mailing address:
  • Phone: 747-977-2437
  • Fax: 818-940-0340

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: HARUTYUN MARTIROSYAN
Title or Position: PRESIDENT
Credential:
Phone: 818-331-3469