Healthcare Provider Details

I. General information

NPI: 1104283423
Provider Name (Legal Business Name): GVK ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2016
Last Update Date: 01/19/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7461 VISTA DEL MONTE AVE
VAN NUYS CA
91405-1950
US

IV. Provider business mailing address

7461 VISTA DEL MONTE AVE
VAN NUYS CA
91405-1950
US

V. Phone/Fax

Practice location:
  • Phone: 818-616-2404
  • Fax:
Mailing address:
  • Phone: 818-616-2404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: VINCE KACH
Title or Position: CEO-OWNER
Credential: CAPITALIST
Phone: 818-616-2404