Organization
WESTSIDE HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA FLORO CRUZ (PRESIDENT)
(323) 965-0600
Entity
Organization
Contact information
Practice address
1020 S FAIRFAX AVE, LOS ANGELES, CA 90019-4401
(323) 938-2451
(323) 938-0361
Mailing address
1020 S FAIRFAX AVE, LOS ANGELES, CA 90019-4401
(323) 938-2451
(323) 938-0361
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55139F
—
CA
Enumeration date
10/09/2005
Last updated
08/22/2020
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