| NPI | 1336961416 |
|---|---|
| Other Name | LAC RANCHO LOS AMIGOS NATIONAL REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | KONITA WILKS CEO 562-385-7022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |