| NPI | 1679665681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT HO Administrator 626-279-9082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 06000684) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2023-09-06 |