NPI Provider: 1831197235
Contact Name: Danna Ann Barbara
Position: Assistant Administrator
Phone: (562) 494-5001
Villa De La Mar Inc Information:
Villa De La Mar Inc organization have npi 1831197235, taxonomy code is 314000000X with license number is in . This Business address located in 5001 E Anaheim St, Long Beach, CA 90804 California.
Practice Location
Address: 5001 E Anaheim St, Long Beach, CA 90804
Phone: (562) 494-5001
Business Location
Address: 5001 E Anaheim St, Long Beach, CA 90804
Phone: (562) 494-5001
Fax: (562) 498-0834
Taxonomy
Taxonomy Code: 314000000X
License Number:
License Number of State: CA
Primary Taxonomy Switch: Y
Enumeration Date: 7/8/2005
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