Av Holding, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

198600525 Issued in CA

Legal business name

AV HOLDING, INC.

Doing business as

Westside Manor

Practice address

4836 W Washington Blvd
Los Angeles, CA 90016-1519

Phone

(323) 937-4506

Fax

(323) 939-0183

NPI assigned

May 26, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alla Neyman

Title

Chief Executive Officer

Phone

(310) 435-0696

Specialties & licenses 1

Addresses

Other names 1

• Westside Manor Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis Alexander Coffey, PH D

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1881797298
  NPD (past)
• Kimel A. Limon, PSYD

  • Clinical Psychologist
  • Crescent City, CA
  • NPI 1043346208
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495756800000",
    "number": "1285162834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 WESLIN AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914234732",
            "telephone_number": "310-435-0696",
            "fax_number": "323-939-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4836 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900161519",
            "telephone_number": "323-937-4506",
            "fax_number": "323-939-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AV HOLDING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-05-26",
        "status": "A",
        "authorized_official_last_name": "NEYMAN",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-435-0696"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "198600525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Autism Spectrum Support Center, LLC
• Autonomous User Rehabilitation Agent, LLC (Aura)
• Selin Lala Auvazian
• David Auyeung
• Isaac Auyeung
• Yevgeniya Avagimova
• Gayane Avagyan, PHYSICIAN ASSISTANT
• Hovhannes Avagyan, PMHNP
• Sabrina Avakian, M.D.
• Violeta Avakyan, LCSW

• Adult Care Home Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.