| NPI | 1346522158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR TOLENTINO President 310-272-6730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |