Organization
VICTORIA VENTURA HEALTHCARE LLC
Active
Other names
Victoria Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
5445 EVERGLADES ST, VENTURA, CA 93003-6523
(805) 642-1736
(805) 639-3198
Mailing address
5445 EVERGLADES ST, VENTURA, CA 93003-6523
(805) 642-1736
(805) 639-3198
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050000271
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55478H
—
CA
Enumeration date
07/19/2005
Last updated
02/17/2021
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