# EAST LOS ANGELES HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Costa Del Sol Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013641562
- **Authorized official:** JOHN MITCHELL (SECRETARY)
- **Authorized official phone:** (385) 988-3319

## Contact information

- **Practice address:** 1016 S RECORD AVE, LOS ANGELES, CA 90023-2533
- **Practice address phone:** (323) 826-5035
- **Mailing address:** 262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
- **Mailing address phone:** (385) 518-1814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/11/2022
- **Last updated:** 08/15/2024