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.
Organization
MEK LONG BEACH, LLC
Active
Organization
MEK LONG BEACH, LLC
Active
Other names
Regency Oaks Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNAN PERDRAJA (FINANCIAL CONTROLLER)
(818) 247-6200
Entity
Organization
Contact information
Practice address
3850 E ESTHER ST, LONG BEACH, CA 90804-2009
(562) 498-3368
(562) 494-1786
Mailing address
1506 S GLENDALE AVE, GLENDALE, CA 91205-3316
(818) 247-6200
(818) 247-7129
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000065
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0891347
CLIA ID NUMBER
CA
05
—
ZZT05197K
—
CA
Enumeration date
06/22/2005
Last updated
04/11/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers