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Organization
PARK ANAHEIM HEALTH CARE, LLC
Active
Organization
PARK ANAHEIM HEALTH CARE, LLC
Active
Other names
PARK ANAHEIM HEALTHCARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FRIEDMAN (MANAGING MEMBER)
(213) 389-6900
Entity
Organization
Contact information
Practice address
3435 W BALL RD, ANAHEIM, CA 92804-3708
(714) 827-5880
(714) 827-8815
Mailing address
4032 WILSHIRE BLVD FL 6, LOS ANGELES, CA 90010-3425
(213) 389-6900
(213) 368-8560
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060000094
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55035G
—
CA
05
—
LTC70120F
—
CA
Enumeration date
11/07/2006
Last updated
05/10/2018
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