Organization
WESTLAKE HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEOUNG HANS LEE (PRESIDENT)
(323) 934-5660
Entity
Organization
Contact information
Practice address
250 FAIRVIEW RD, THOUSAND OAKS, CA 91361-2456
(805) 494-1233
(805) 494-1411
Mailing address
1101 CRENSHAW BLVD, LOS ANGELES, CA 90019-3112
(323) 934-5660
(323) 934-0852
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050000569
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55794F
—
CA
Enumeration date
11/16/2006
Last updated
11/18/2013
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