# CERRITOS VISTA HEALTHCARE CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Cerritos Vista Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407373350
- **Authorized official:** DAVID FRIEDMAN (MANAGING MEMBER)
- **Authorized official phone:** (213) 389-6900

## Contact information

- **Practice address:** 17836 WOODRUFF AVE, BELLFLOWER, CA 90706-7029
- **Practice address phone:** (562) 925-8457
- **Practice address fax:** (562) 461-7307
- **Mailing address:** 4032 WILSHIRE BLVD FL 6, LOS ANGELES, CA 90010-3425
- **Mailing address phone:** (213) 389-6900
- **Mailing address fax:** (213) 368-8560

## Taxonomy

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

## Other

- **Enumeration date:** 08/22/2017
- **Last updated:** 08/22/2017
