# VICTORIA VENTURA HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Victoria Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427057645
- **Authorized official:** SOON BURNAM (TREASURER)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 5445 EVERGLADES ST, VENTURA, CA 93003-6523
- **Practice address phone:** (805) 642-1736
- **Practice address fax:** (805) 639-3198
- **Mailing address:** 5445 EVERGLADES ST, VENTURA, CA 93003-6523
- **Mailing address phone:** (805) 642-1736
- **Mailing address fax:** (805) 639-3198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 050000271 | CA | Yes |

## Other

- **Enumeration date:** 07/19/2005
- **Last updated:** 02/17/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55478H | — | CA |