Boris Management Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

197608929 Issued in CA

Legal business name

BORIS MANAGEMENT CORP

Practice address

3454 Perlita Ave
Los Angeles, CA 90039-1932

Phone

(323) 665-6893

Fax

(323) 658-5533

NPI assigned

Jul 10, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Boris Skutatovich

Title

President

Phone

(323) 610-2841

Specialties & licenses 1

Addresses

Other names 1

• Atwater Village South Doing business as

Tax ID family

Atwater Village South2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Boris Management Corp

  • Assisted Living Facility
  • Los Angeles, CA
  • NPI 1407230162
  NPD tax ID

Practitioners 1

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

• Boris Skuratovich

  • Assisted Living Facility
  • Los Angeles, CA
  • NPI 1538542360
  NPD (past)

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1407230246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 PERLITA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391932",
            "telephone_number": "323-665-6893",
            "fax_number": "323-658-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 PERLITA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391932",
            "telephone_number": "323-665-6893",
            "fax_number": "323-658-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "SKUTATOVICH",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-610-2841",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197608929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atwater Village South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Borges
• Saman Borghei, M.D.
• Darius Borhan
• Boris Berzon MD Inc
• Boris Management Corp
• Boris Mayzels Chiropractic Corporation
• Austin James Borja, MD
• Luis Javier Borjas
• Mireya Borjas
• Maryam Borjian, D.D.S.

• Assisted Living Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.