| NPI | 1073114807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINH NGUYEN Owner / Facility Medical Director 562-212-1272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |