Organization
SUNBURST CARE CENTER-WINNETKA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PERRY EDWARD RASO (SECRETARY TREASURER)
(818) 831-0625
Entity
Organization
Contact information
Practice address
19815 ARMINTA ST, WINNETKA, CA 91306-2339
(818) 993-3222
Mailing address
19684 LOS ALIMOS ST, CHATSWORTH, CA 91311-1934
(818) 831-0625
(818) 368-3638
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
LTC60908F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LTC60908F
MEDI CAL
CA
Enumeration date
05/21/2007
Last updated
08/22/2020
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