| NPI | 1649656513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOON BURNAM Treasurer 949-487-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 261QA0600X Clinic/Center Adult Day Care | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2021-06-21 |