# WINDSOR GARDENS HEALTHCARE CENTER OF FULLERTON, LLC

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

## Provider details

- **NPI number:** 1578656427
- **Authorized official:** ASH CHAWLA (VICE PRESIDENT FINANCE)
- **Authorized official phone:** (310) 385-1090

## Contact information

- **Practice address:** 245 E WILSHIRE AVE, FULLERTON, CA 92832-1935
- **Practice address phone:** (714) 871-6020
- **Practice address fax:** (714) 871-1321
- **Mailing address:** 9200 WEST SUNSET BLVD, 7TH FLOOR, WEST HOLLYWOOD, CA 90069-3603
- **Mailing address phone:** (310) 385-1090
- **Mailing address fax:** (310) 595-3792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 060000184 | CA | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 04/10/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05689G | — | CA |