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 | 2020-06-24 |