Organization
PALOS VERDES VILLA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA CARDENAS (ADMINISTRATOR)
(310) 547-9941
Entity
Organization
Contact information
Practice address
29661 S WESTERN AVE, RANCHO PALOS VERDES, CA 90275-1314
(310) 547-9941
Mailing address
29661 S WESTERN AVE, RANCHO PALOS VERDES, CA 90275-1314
(310) 547-9941
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
198201933
CA
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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