# CASA MARINA AT NORTHRIDGE, INC.

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

## Provider details

- **NPI number:** 1568840379
- **Authorized official:** MRS. OLGA MARINA ALONZO (PRESIDENT)
- **Authorized official phone:** (818) 554-3202

## Contact information

- **Practice address:** 17029 ROMAR ST, NORTHRIDGE, CA 91325-1640
- **Practice address phone:** (818) 349-3011
- **Practice address fax:** (818) 772-4240
- **Mailing address:** 17029 ROMAR ST, NORTHRIDGE, CA 91325-1640
- **Mailing address phone:** (818) 349-3011
- **Mailing address fax:** (818) 772-4240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 197605786 | CA | Yes |

## Other

- **Enumeration date:** 05/13/2015
- **Last updated:** 05/13/2015