Organization
PACIFIC SUNRISE HOME INC.
Active
Other names
PACIFIC SUNRISE HOME 1
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA LOIDA CANTORIA (ADMINISTRATOR)
(310) 500-7223
Entity
Organization
Contact information
Practice address
28134 LOMO DR, RANCHO PALOS VERDES, CA 90275-3226
(424) 777-8707
(424) 206-2486
Mailing address
28134 LOMO DR, RANCHO PALOS VERDES, CA 90275-3226
(424) 777-8602
(424) 206-9069
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197607766
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198320035
DEPARTMENT OF SOCIAL SERVICES
CA
Enumeration date
10/30/2015
Last updated
11/15/2023
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