Organization
SIERRA BONITA BOARD AND CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABINA RASULOV (DIRECTOR)
(323) 658-8722
Entity
Organization
Contact information
Practice address
542 N VISTA ST, LOS ANGELES, CA 90036-5743
(323) 658-8722
Mailing address
542 N VISTA ST, LOS ANGELES, CA 90036-5743
(323) 658-8722
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197608059
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942613674
NPI
CA
Enumeration date
02/05/2015
Last updated
02/05/2015
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