NPI 1023150042

Broadwater Sunray Care Center, LLC

Organisation Skilled Nursing Facility Los Angeles, CA

Practice location

Address: 3210 W Pico Blvd, Los Angeles, CA 90019-3643
Phone: (323) 734-2171
Fax: (323) 734-1825

Authorised official

Name: Douglas Easton
Title: Manager
Phone: (818) 368-1862

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 970000023 (CA)

Other Skilled Nursing Facility providers in California →

Registry record

NPI: 1023150042
Entity type: Organization
NPI issued: 13 Feb 2007
Record last updated: 9 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.