Organization
DP CA RAL OPCO LLC
Active
Other names
Family Choice Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHZAD M KHAN (LLC MEMBER)
(714) 229-0069
Entity
Organization
Contact information
Practice address
3105 W ORANGE AVE, ANAHEIM, CA 92804-3153
(714) 229-0069
(714) 229-0337
Mailing address
11755 WILSHIRE BLVD STE 1250, LOS ANGELES, CA 90025-1540
(714) 229-0069
(714) 229-0337
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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