Healthcare Provider Details

I. General information

NPI: 1831052638
Provider Name (Legal Business Name): PEACEFUL LIVING BOARD & CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14241 VALERIO
VAN NUYS CA
91405
US

IV. Provider business mailing address

14700 1/2 WYANDOTTE ST
VAN NUYS CA
91405-1971
US

V. Phone/Fax

Practice location:
  • Phone: 323-872-9570
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ARMAN PETROSYAN
Title or Position: CEO
Credential:
Phone: 323-872-9570