Organization
BLUE JASMINE VILLA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAVEH CHAVOSHPOUR (CEO)
(949) 350-2338
Entity
Organization
Contact information
Practice address
18 SEQUOIA TREE LN, IRVINE, CA 92612-2244
(949) 350-2338
Mailing address
18 SEQUOIA TREE LN, IRVINE, CA 92612-2244
(949) 350-2338
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
306004805
CA
Other
Enumeration date
06/15/2016
Last updated
11/18/2016
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