| NPI | 1811997570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOON BURNAM Treasurer 949-540-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 940000005) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2021-02-17 |