Organization
BROADVIEW, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK P ZUNDEL-WATERSON (BUSINESS MANAGER)
(323) 221-9174
Entity
Organization
Contact information
Practice address
4570 GRIFFIN AVE, LOS ANGELES, CA 90031-1422
(323) 221-9174
(323) 221-7194
Mailing address
4570 GRIFFIN AVE, LOS ANGELES, CA 90031-1422
(323) 221-9174
(323) 221-7194
Taxonomy
Speciality
Code
Description
License number
State
282J00000X
Religious Nonmedical Health Care Institution
Primary
051991
CA
Other
Enumeration date
05/23/2005
Last updated
08/22/2020
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