# PRIME HEALTHCARE SERVICES - ENCINO LLC

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

## Provider details

- **NPI number:** 1619141298
- **Authorized official:** CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
- **Authorized official phone:** (310) 259-4706

## Contact information

- **Practice address:** 16237 VENTURA BLVD, ENCINO, CA 91436-2201
- **Practice address phone:** (818) 995-5000
- **Mailing address:** 16237 VENTURA BLVD, ENCINO, CA 91436-2201
- **Mailing address phone:** (818) 995-5000
- **Mailing address fax:** (818) 907-8630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 930000051 | CA | Yes |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 01/02/2024