Organization
PINE FOREST HEALTHCARE, INC.
Active
Other names
Camino Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
13922 CERISE AVE, HAWTHORNE, CA 90250-8118
(310) 675-3304
(310) 675-4389
Mailing address
13922 CERISE AVE, HAWTHORNE, CA 90250-8118
(310) 675-3304
(310) 675-4389
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
11/10/2020
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