Organization
SOUTH PACIFIC
Active
Other names
South Pacific
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN SHAPIRO COBAIN PTA (PTA)
(818) 577-9410
Entity
Organization
Contact information
Practice address
16260 VENTURA BLVD, RNCINO, CA 91364
(818) 986-1977
Mailing address
16260 VENTURA BLVD, ENCINO, CA 91436-2203
(818) 986-1977
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
AT1195
CA
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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