Provider Demographics
NPI:1366844144
Name:NO DORM INC.
Entity type:Organization
Organization Name:NO DORM INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSEE
Authorized Official - Prefix:MR
Authorized Official - First Name:HARMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTOUNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-421-7110
Mailing Address - Street 1:4021 PACHECO DR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-4422
Mailing Address - Country:US
Mailing Address - Phone:818-421-7110
Mailing Address - Fax:818-450-1460
Practice Address - Street 1:5222 WASHINGTON BLVD.
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90016
Practice Address - Country:US
Practice Address - Phone:818-421-7110
Practice Address - Fax:818-450-1460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA198601861310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility