| NPI | 1477808632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAJDA H KHAN Administrator/Sectary 310-801-3767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: CA 198601229) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-18 |