| NPI | 1679793723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOE LEWIN Program Director 714-957-0611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-22 |