# SIMI VALLEY HEALTHCARE CENTER LLC

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

## Provider details

- **NPI number:** 1912454851
- **Authorized official:** CRYSTAL SOLORZANO (CEO)
- **Authorized official phone:** (323) 836-9397

## Contact information

- **Practice address:** 513 S MYRTLE AVE, SUITE B, MONROVIA, CA 91016-6154
- **Practice address phone:** (626) 658-7344
- **Practice address fax:** (323) 488-9274
- **Mailing address:** 5270 E LOS ANGELES AVE, SIMI VALLEY, CA 93063-4137
- **Mailing address phone:** (805) 522-9155
- **Mailing address fax:** (805) 581-3879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 050000069 | CA | Yes |

## Other

- **Enumeration date:** 09/08/2016
- **Last updated:** 09/08/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55701F | — | CA |
