Judd Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JUDD ASSISTED LIVING

Practice address

12615 Judd St
Pacoima, CA 91331-1319

Phone

(747) 240-9360

Fax

(747) 246-9511

NPI assigned

Jul 25, 2023

Organization subpart

No

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

Authorized official

Name

Liana Rafiki Avanesyan, CEO

Title

Administrator

Phone

(747) 240-9360

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1508546409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12615 JUDD ST",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913311319",
            "telephone_number": "747-240-9360",
            "fax_number": "747-246-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12615 JUDD ST",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913311319",
            "telephone_number": "747-240-9360",
            "fax_number": "747-246-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDD ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "AVANESYAN",
        "authorized_official_first_name": "LIANA",
        "authorized_official_middle_name": "RAFIKI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "747-240-9360",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Johnson
• Melanie Johnson
• Benjamin Joly
• Julie Elizabeth Jones, M.F.T.
• Joseph G Jreije
• Arthur Julhakyan
• Fay Read Kagan, M.D.
• Albert Kandkhorov, D.C.
• Ratiana Karapet
• Elena Karenev

• Assisted Living Facility in Pacoima, CA
• Providers in Pacoima, 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 Jul 25, 2023; 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.