Organization
COMMONWEALTH GOLDEN AGE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN HESHEL (LICENSEE)
(310) 753-3046
Entity
Organization
Contact information
Practice address
150 S COMMONWEALTH AVE, LOS ANGELES, CA 90004-6006
(818) 675-3377
Mailing address
150 S COMMONWEALTH AVE, LOS ANGELES, CA 90004-6006
(818) 675-3377
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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