MEDICARE: ALL STAR LIVING 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	:	1982587796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL STAR LIVING INC.

Provider Business Mailing Address
First Line	:	8123 PASO ROBLES AVE
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91406-1127
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8123 PASO ROBLES AVE
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91406-1127
Country	:	US
Telephone Number	:	818-802-0866
Fax Number	:

Authorized Official
Title or Position	:	C.E.O
Name	:	SATENIK ALAJANYAN
Credential	:
Telephone Number	:	818-802-0866

Provider Enumeration Date	:	07/29/2025
Last Update Date	:	09/25/2025

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