Organization
SUNBRIDGE HARBOR VIEW REHABILITATION CENTER
Active
Parent organization
SUNBRIDGE HEALTHCARE CORPORATION
Other names
Harbor View Community Services Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNBRIDGE HEALTHCARE CORPORATION
Authorized official
WILLIAM A MATHIES (PRESIDENT DIRECTOR)
(505) 821-3355
Entity
Organization
Contact information
Practice address
850 E. WARDLOW ROAD, LONG BEACH, CA 90807
(562) 981-9392
(562) 981-2622
Mailing address
101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
CA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7717
—
CA
Enumeration date
01/02/2008
Last updated
09/30/2009
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