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Organization
KTLA PROPERTIES LIMITED PARTNERSHIP
Active
Organization
KTLA PROPERTIES LIMITED PARTNERSHIP
Active
Other names
ALAMITOS WEST HEALTH & REHABILITATION
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A WEICHERT (AUTHORIZED OFFICIAL)
(952) 361-8000
Entity
Organization
Contact information
Practice address
3902 KATELLA AVE, LOS ALAMITOS, CA 90720-3304
(562) 596-5561
(562) 596-5516
Mailing address
1107 HAZELTINE BLVD, SUITE 200, CHASKA, MN 55318-1009
(952) 361-8000
(952) 361-8060
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060000076
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206301089
OSHPD FACILITY NUMBER
CA
05
—
ZZT06169G
—
CA
Enumeration date
06/28/2006
Last updated
06/25/2019
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