Organization
OCEANVIEW ADULT DAY HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA MOYSEYEV (PROGRAM DIRECTOR)
(310) 396-9166
Entity
Organization
Contact information
Practice address
1500 MAIN ST, VENICE, CA 90291-3622
(310) 396-9166
Mailing address
1500 MAIN ST, VENICE, CA 90291-3622
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ADU70361F
MEDI-CAL
CA
Enumeration date
05/15/2007
Last updated
08/22/2020
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