Organization
8520 WESTERN AVENUE INC
Active
Other names
BUENA PARK NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HENRY SY (VP OF REVENUE MANAGEMENT)
(562) 930-0777
Entity
Organization
Contact information
Practice address
8520 WESTERN AVE, BUENA PARK, CA 90620-3927
(714) 828-8222
(714) 828-1467
Mailing address
4115 E BROADWAY, LONG BEACH, CA 90803-1532
(562) 930-0777
(562) 930-0728
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060000106
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC70148F
—
CA
05
—
ZZT05571K
—
CA
Enumeration date
09/28/2005
Last updated
05/28/2026
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