Organization
CAPISTRANO BEACH CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALIREZA TALEBI (PRESIDENT)
(714) 533-7818
Entity
Organization
Contact information
Practice address
35410 DEL REY, CAPISTRANO BEACH, CA 92624-1814
(949) 496-5786
(949) 496-0540
Mailing address
35410 DEL REY, CAPISTRANO BEACH, CA 92624-1814
(949) 496-5786
(949) 496-0540
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05585J
—
CA
05
—
ZZT05585K
—
CA
Enumeration date
03/12/2007
Last updated
04/07/2008
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