Organization
LA MESA POST ACUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL SOLORZANO (MANAGER)
(323) 836-9397
Entity
Organization
Contact information
Practice address
9333 LA MESA DR, ALTA LOMA, CA 91701-5805
(909) 987-2501
(909) 987-0282
Mailing address
107 W LEMON AVE, MONROVIA, CA 91016-2809
(323) 836-9397
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
240000105
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
555521
MEDICARE PROVIDER NUMBER
CA
05
—
ZZT05770I
—
CA
Enumeration date
09/05/2018
Last updated
09/05/2018
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