Organization
LOMPOC VALLEY MEDICAL CENTER
Active
Other names
Convalescent Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN CHENEY (CFO)
(805) 737-3306
Entity
Organization
Contact information
Practice address
216 N 3RD ST, LOMPOC, CA 93436-6104
(805) 737-3367
Mailing address
216 N 3RD ST, LOMPOC, CA 93436-6104
(805) 737-3367
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05256G
—
CA
05
—
ZZT30110F
—
CA
05
—
ZZT40110F
—
CA
Enumeration date
09/26/2005
Last updated
12/23/2020
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