| NPI | 1487453494 |
|---|---|
| Doing Business As | LAKESIDE REHABILITATION AND CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | SOON BURNAM Secretary 949-540-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-05-27 |