Provider Demographics
NPI:1104283423
Name:GVK ASSOCIATES
Entity type:Organization
Organization Name:GVK ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINCE
Authorized Official - Middle Name:
Authorized Official - Last Name:KACH
Authorized Official - Suffix:
Authorized Official - Credentials:CAPITALIST
Authorized Official - Phone:818-616-2404
Mailing Address - Street 1:7461 VISTA DEL MONTE AVE
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-1950
Mailing Address - Country:US
Mailing Address - Phone:818-616-2404
Mailing Address - Fax:
Practice Address - Street 1:7461 VISTA DEL MONTE AVE
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-1950
Practice Address - Country:US
Practice Address - Phone:818-616-2404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-16
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA550003700OtherDPHS
CA1043394505Medicaid
CA1104283423Medicaid