Organization
SANTA FE LODGE LLC
Active
Other names
Santa Fe Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FRIEDMAN (MANAGING MEMBER)
(213) 389-6900
Entity
Organization
Contact information
Practice address
5053 PECK RD, EL MONTE, CA 91732-1456
(626) 448-4248
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851763908
—
CA
Enumeration date
10/28/2015
Last updated
06/14/2017
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