Healthcare Provider Details

I. General information

NPI: 1447171004
Provider Name (Legal Business Name): ALORA MIND CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18425 BURBANK BLVD STE 518
TARZANA CA
91356-6903
US

IV. Provider business mailing address

18425 BURBANK BLVD
TARZANA CA
91356-2806
US

V. Phone/Fax

Practice location:
  • Phone: 999-999-9999
  • Fax:
Mailing address:
  • Phone: 747-267-8637
  • Fax: 747-368-2820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LILIA GEVORGYAN
Title or Position: CEO
Credential:
Phone: 818-425-0191