Foothill Serenity Living LLC

Practice location

Address

8024 Redwood Ave, Fontana, CA 92336-1640

Phone

(909) 371-3966

Mailing address

235 Chestnut Ave, Los Angeles, CA 90042-3735

Authorised official

Name

Marydes a Guevarra

Title

Sole LLC Member

Phone

(213) 618-0938

Registered specialties

Registry record

NPI

1023885910

Entity type

Organization

NPI issued

11 Dec 2023

Record last updated

11 Dec 2023

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.