| NPI | 1790850329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT PODDATOORI Owner 310-386-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 02 0000097) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2025-01-13 |