<Unavail>

LBN: Srsw Llc
<Unavail> is an health care organization with primary practice located at 919 N Sunset Ave , West Covina CA 91790-1244. 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. Srsw Llc can be contacted via phone (949) 445-1000, or through Samuelian, Spencer Robert via phone (949) 445-1000.

Contact Information

Primary practice address
919 N Sunset Ave West Covina CA 91790-1244
Phone: (949) 445-1000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Samuelian, Spencer Robert
Phone: (949) 445-1000

Health care specialties

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

Profile Details

NPI number 1184055956
LBN Legal business name Srsw Llc
DBA Doing business as <Unavail>
Authorized official Samuelian, Spencer Robert
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 4th, 2013
Last updated May 30th, 2017 - about 9 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 1184055956 NPPES
California MEDICAID 2857712

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