MEDICARE: VALLEY MANOR BOARD AND CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1194641043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY MANOR BOARD AND CARE INC

Provider Business Mailing Address
First Line	:	19238 ARMINTA ST
Second Line	:
City	:	RESEDA
State	:	CA
Zip	:	91335-1107
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19238 ARMINTA ST
Second Line	:
City	:	RESEDA
State	:	CA
Zip	:	91335-1107
Country	:	US
Telephone Number	:	747-210-9070
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	LEVON TOROSYAN
Credential	:
Telephone Number	:	747-210-9070

Provider Enumeration Date	:	06/25/2026
Last Update Date	:	06/25/2026

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