Song Of Phoenix

LBN: Song Of Phoenix
Song Of Phoenix is an health care organization with primary practice located at 22302 Halldale Ave , Torrance CA 90501-4232. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Song Of Phoenix can be contacted via phone (310) 320-5350, or through Brito, Roger via phone (424) 376-8931.

Contact Information

Primary practice address
22302 Halldale Ave Torrance CA 90501-4232
Phone: (310) 320-5350
Fax: (310) 320-5350
Website:
Map and Directions
Authorized official contact:
Name: Brito, Roger
Phone: (424) 376-8931

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 197607370 California

Profile Details

NPI number 1740668490
LBN Legal business name Song Of Phoenix
DBA Doing business as
Authorized official Brito, Roger
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2015
Last updated May 14th, 2015 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740668490 NPPES
California Other 1976077370 RCFE LICENSE

Popular Providers