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Organization
EAST LOS ANGELES HEALTHCARE, LLC
Active
Organization
EAST LOS ANGELES HEALTHCARE, LLC
Active
Other names
Costa Del Sol Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
1016 S RECORD AVE, LOS ANGELES, CA 90023-2533
(323) 826-5035
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
(385) 518-1814
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
08/15/2024
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