# MARINA VISTA POST ACUTE LLC

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

## Provider details

- **NPI number:** 1467972430
- **Authorized official:** CRYSTAL SOLORZANO (MANAGING MEMBER)
- **Authorized official phone:** (626) 346-0300

## Contact information

- **Practice address:** 1919 CUTTING BLVD, RICHMOND, CA 94804-2662
- **Practice address phone:** (510) 233-8513
- **Practice address fax:** (510) 227-1831
- **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 | 140000139 | CA | Yes |

## Other

- **Enumeration date:** 06/21/2017
- **Last updated:** 06/21/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 055292 | MEDICARE OSCAR/CERTIFICATION | CA |
| 05 | — | ZZR05292J | — | CA |
