# LA MESA POST ACUTE LLC

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

## Provider details

- **NPI number:** 1487136479
- **Authorized official:** CRYSTAL SOLORZANO (MANAGER)
- **Authorized official phone:** (323) 836-9397

## Contact information

- **Practice address:** 9333 LA MESA DR, ALTA LOMA, CA 91701-5805
- **Practice address phone:** (909) 987-2501
- **Practice address fax:** (909) 987-0282
- **Mailing address:** 107 W LEMON AVE, MONROVIA, CA 91016-2809
- **Mailing address phone:** (323) 836-9397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 240000105 | CA | Yes |

## Other

- **Enumeration date:** 09/05/2018
- **Last updated:** 09/05/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 555521 | MEDICARE PROVIDER NUMBER | CA |
| 05 | — | ZZT05770I | — | CA |