Organization
3535 OVERLAND AVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEVEN INGBER (LLC MANAGING MEMBER)
(310) 836-0510
Entity
Organization
Contact information
Practice address
3535 OVERLAND AVE, LOS ANGELES, CA 90034-5521
(310) 836-0510
(310) 836-1938
Mailing address
3535 OVERLAND AVE, LOS ANGELES, CA 90034-5521
(310) 836-0510
(310) 836-1938
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197606170
CA
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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