NPI 1033106703
1135 N Leisure CT INC
Practice location
- Address
- 1135 N Leisure CT, Anaheim, CA 92801-2939
- Phone
- (714) 772-1353
- Fax
- (714) 490-2171
- Mailing address
- 4115 E Broadway, Long Beach, CA 90803-1532
Authorised official
- Name
- John Henry Sy
- Title
- Vp of Revenue Management
- Phone
- (562) 930-0777
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1033106703
- Entity type
- Organization
- NPI issued
- 28 Sep 2005
- Record last updated
- 28 May 2026
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.