Organization
LA MIRADA HEALTCHARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GASTWIRTH (OWNER)
(818) 985-6600
Entity
Organization
Contact information
Practice address
11926 LA MIRADA BLVD, LA MIRADA, CA 90638-1303
(562) 943-7156
Mailing address
11440 VENTURA BLVD STE 200, STUDIO CITY, CA 91604-3154
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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