# PARK VISTA POST ACUTE LLC

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

## Provider details

- **NPI number:** 1669039699
- **Authorized official:** CRYSTAL SOLORZANO (MANAGER)
- **Authorized official phone:** (626) 346-0300

## Contact information

- **Practice address:** 980 W 7TH ST, SAN JACINTO, CA 92582-3814
- **Practice address phone:** (951) 654-9347
- **Mailing address:** 107 W LEMON AVE, MONROVIA, CA 91016-2809
- **Mailing address phone:** (626) 658-7344

## Taxonomy

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

## Other

- **Enumeration date:** 05/24/2019
- **Last updated:** 05/24/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 055598 | MEDICARE PTAN | CA |
| 05 | — | ZZT05598H | — | CA |