# WESTSIDE HEALTH CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073501664
- **Authorized official:** LYDIA FLORO CRUZ (PRESIDENT)
- **Authorized official phone:** (323) 965-0600

## Contact information

- **Practice address:** 1020 S FAIRFAX AVE, LOS ANGELES, CA 90019-4401
- **Practice address phone:** (323) 938-2451
- **Practice address fax:** (323) 938-0361
- **Mailing address:** 1020 S FAIRFAX AVE, LOS ANGELES, CA 90019-4401
- **Mailing address phone:** (323) 938-2451
- **Mailing address fax:** (323) 938-0361

## Taxonomy

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

## Other

- **Enumeration date:** 10/09/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55139F | — | CA |