Organization
MEK LONG BEACH, LLC
Active
Other names
Regency Oaks Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNAN PERDRAJA (FINANCIAL CONTROLLER)
(818) 247-6200
Entity
Organization
Contact information
Practice address
3850 E ESTHER ST, LONG BEACH, CA 90804-2009
(562) 498-3368
(562) 494-1786
Mailing address
1506 S GLENDALE AVE, GLENDALE, CA 91205-3316
(818) 247-6200
(818) 247-7129
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000065
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0891347
CLIA ID NUMBER
CA
05
—
ZZT05197K
—
CA
Enumeration date
06/22/2005
Last updated
04/11/2016
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