Organization
PARK ANAHEIM HEALTH CARE, LLC
Active
Other names
PARK ANAHEIM HEALTHCARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FRIEDMAN (MANAGING MEMBER)
(213) 389-6900
Entity
Organization
Contact information
Practice address
3435 W BALL RD, ANAHEIM, CA 92804-3708
(714) 827-5880
(714) 827-8815
Mailing address
4032 WILSHIRE BLVD FL 6, LOS ANGELES, CA 90010-3425
(213) 389-6900
(213) 368-8560
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060000094
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55035G
—
CA
05
—
LTC70120F
—
CA
Enumeration date
11/07/2006
Last updated
05/10/2018
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