| NPI | 1356588826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOON BURNAM Treasurer 949-540-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: CA 336424161) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2022-04-11 |