# CANYON VISTA POST ACUTE LLC

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

## Provider details

- **NPI number:** 1093223729
- **Authorized official:** CRYSTAL SOLORZANO (MANAGER)
- **Authorized official phone:** (626) 346-0300

## Contact information

- **Practice address:** 20554 ROSCOE BLVD, CANOGA PARK, CA 91306-1746
- **Practice address phone:** (818) 341-9800
- **Practice address fax:** (818) 341-1925
- **Mailing address:** 107 W LEMON AVE, MONROVIA, CA 91016-2809
- **Mailing address phone:** (626) 346-0300
- **Mailing address fax:** (626) 737-7260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 920000041 | CA | Yes |

## Other

- **Enumeration date:** 01/16/2018
- **Last updated:** 01/16/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT18160G | — | CA |