Organization
CASA CERRITOS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA SIATON MENDOZA NP (MEMBER)
(562) 225-2649
Entity
Organization
Contact information
Practice address
10802 ANDY ST, CERRITOS, CA 90703-8064
(562) 225-2649
Mailing address
10802 ANDY ST, CERRITOS, CA 90703-8064
(562) 225-2649
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
198602141
CA
Other
Enumeration date
11/16/2015
Last updated
11/17/2015
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