Organization
SIMI VALLEY HEALTHCARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL SOLORZANO (CEO)
(323) 836-9397
Entity
Organization
Contact information
Practice address
513 S MYRTLE AVE, SUITE B, MONROVIA, CA 91016-6154
(626) 658-7344
(323) 488-9274
Mailing address
5270 E LOS ANGELES AVE, SIMI VALLEY, CA 93063-4137
(805) 522-9155
(805) 581-3879
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050000069
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55701F
—
CA
Enumeration date
09/08/2016
Last updated
09/08/2016
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