# ASPEN SKILLED HEALTHCARE, INC

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

## Provider details

- **NPI number:** 1790914810
- **Authorized official:** MR. VERN JAY BRADY (PRESIDENT)
- **Authorized official phone:** (949) 466-8704

## Contact information

- **Practice address:** 12750 CENTER COURT DR S, 405, CERRITOS, CA 90703-8581
- **Practice address phone:** (562) 809-7000
- **Practice address fax:** (714) 388-3632
- **Mailing address:** 12750 CENTER COURT DR S, 405, CERRITOS, CA 90703-8581
- **Mailing address phone:** (562) 809-7000
- **Mailing address fax:** (714) 388-3632

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2009
- **Last updated:** 07/10/2009