| NPI | 1912248972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIPRIANO BAUTISTA Member 626-512-2595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 970000194) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2014-01-15 |