Organization
LA HABRA VILLA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR LE (CEO)
(714) 612-9309
Entity
Organization
Contact information
Practice address
1100 E.WHITTIER BLVD, LA HABRA, CA 90631
(562) 694-6515
Mailing address
407 W COLLEGE ST, LOS ANGELES, CA 90012-2313
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
306005182
CA
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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