Organization
CANYON VISTA POST ACUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL SOLORZANO (MANAGER)
(626) 346-0300
Entity
Organization
Contact information
Practice address
20554 ROSCOE BLVD, CANOGA PARK, CA 91306-1746
(818) 341-9800
(818) 341-1925
Mailing address
107 W LEMON AVE, MONROVIA, CA 91016-2809
(626) 346-0300
(626) 737-7260
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
920000041
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT18160G
—
CA
Enumeration date
01/16/2018
Last updated
01/16/2018
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