<Unavail>

LBN: Ensign San Dimas Llc
<Unavail> is an health care organization with primary practice located at 1033 East Arrow Highway , Glendora CA 91740-6110. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Ensign San Dimas Llc can be contacted via phone (626) 963-7531, or through Burnam, Soon via phone (949) 540-1249.

Contact Information

Primary practice address
1033 East Arrow Highway Glendora CA 91740-6110
Phone: (626) 963-7531
Fax: (626) 914-7566
Website:
Map and Directions
Authorized official contact:
Name: Burnam, Soon
Phone: (949) 540-1249

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 950000090 California

Profile Details

NPI number 1497755144
LBN Legal business name Ensign San Dimas Llc
DBA Doing business as <Unavail>
Authorized official Burnam, Soon
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2005
Last updated Feb 17th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497755144 NPPES
California MEDICAID LTC06360H

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