# IMPERIAL HEIGHTS HEALTHCARE & WELLNESS CENTRE LLC

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

## Provider details

- **NPI number:** 1699908962
- **Authorized official:** MR. JONATHAN WEISS (MEMBER)
- **Authorized official phone:** (323) 481-8441

## Contact information

- **Practice address:** 320 CATTLE CALL DR, BRAWLEY, CA 92227-3108
- **Practice address phone:** (760) 344-5431
- **Practice address fax:** (760) 344-8240
- **Mailing address:** 320 CATTLE CALL DR, BRAWLEY, CA 92227-3108
- **Mailing address phone:** (760) 344-5431
- **Mailing address fax:** (760) 344-8240

## Taxonomy

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

## Other

- **Enumeration date:** 09/02/2009
- **Last updated:** 10/19/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 555557 | MEDICARE | CA |
| 05 | — | ZZT05893G | — | CA |