# LAKE MERRITT HEALTHCARE CENTER LLC

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

## Provider details

- **NPI number:** 1801345772
- **Authorized official:** CRYSTAL SOLORZANO (MANAGING MEMBER)
- **Authorized official phone:** (323) 836-9397

## Contact information

- **Practice address:** 107 W LEMON AVE, MONROVIA, CA 91016-2809
- **Practice address phone:** (626) 658-7344
- **Practice address fax:** (323) 846-5788
- **Mailing address:** 309 MACARTHUR BLVD, OAKLAND, CA 94610-3233
- **Mailing address phone:** (510) 836-3777
- **Mailing address fax:** (510) 371-6902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 020000061 | CA | Yes |

## Other

- **Enumeration date:** 10/03/2016
- **Last updated:** 07/26/2022