Organization
NORTH STAR HEALTHCARE, LLC
Active
Other names
DBA SERRANO NORTH CONV HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILAH GRIER (CONTROLLER)
(323) 465-2106
Entity
Organization
Contact information
Practice address
5401 FOUNTAIN AVE, LOS ANGELES, CA 90029-1006
(323) 465-2106
(323) 465-3703
Mailing address
5401 FOUNTAIN AVE, LOS ANGELES, CA 90029-1006
(323) 465-2106
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134156698
NPI
CA
05
—
ZZT06061H
—
CA
Enumeration date
06/28/2006
Last updated
08/12/2016
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