MEDICARE: THE SISTERS OF NAZARETH OF LOS ANGELES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility		CA

General Provider Information

NPI Number	:	1306832159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE SISTERS OF NAZARETH OF LOS ANGELES

Provider Business Mailing Address
First Line	:	3333 MANNING AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-4804
Country	:	US
Telephone Number	:	310-839-2361
Fax Number	:	310-839-4204

Provider Business Practice Location Address
First Line	:	3333 MANNING AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-4804
Country	:	US
Telephone Number	:	310-839-2361
Fax Number	:	310-839-4204

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MARGARET BRODY
Credential	:
Telephone Number	:	310-839-2361

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	08/22/2020

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Directions to “THE SISTERS OF NAZARETH OF LOS ANGELES ” Practice Location

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