Organization
C.P.C.H. INC.
Active
Other names
CHATSWORTH PARK HEALTH CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARC JOHNSON (CHIEF FINANCIAL OFFICER)
(949) 373-8373
Entity
Organization
Contact information
Practice address
10610 OWENSMOUTH AVE, CHATSWORTH, CA 91311-2151
(818) 882-3200
Mailing address
25910 ACERO STE 350, MISSION VIEJO, CA 92691-7908
(949) 441-9258
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
920000020
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT18516G
—
CA
Enumeration date
12/23/2005
Last updated
04/05/2024
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