Organization
NEW VISTA HEALTH SERVICES, INC.
Active
Other names
New Vista Post Acute Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE LOPEZ DEE NHA (EXECUTIVE DIRECTOR)
(310) 477-5501
Entity
Organization
Contact information
Practice address
1516 SAWTELLE BLVD, LOS ANGELES, CA 90025-3207
(310) 477-5501
(310) 473-8363
Mailing address
1516 SAWTELLE BLVD, LOS ANGELES, CA 90025-3207
(310) 477-5501
(310) 473-8363
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
910000018
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC70109F
—
CA
05
—
ZZT05473J
—
CA
Enumeration date
09/29/2005
Last updated
10/27/2011
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