Organization
CHATSWORTH CONGREGATE LIVING HEALTH FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARITA FORTADES MD (PRESIDENT)
(818) 510-4633
Entity
Organization
Contact information
Practice address
9648 QUAKERTOWN AVE, CHATSWORTH, CA 91311-5522
(818) 510-4633
(818) 510-4648
Mailing address
4271 UPTOWN NEWPORT DR UNIT 1, NEWPORT BEACH, CA 92660-3096
(714) 657-5777
(818) 510-4648
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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