MEDICARE: EMERALD ISLE ASSISTED LIVING, INC.

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	198201753	CA
2	310400000X	Assisted Living Facility	198202539	CA

General Provider Information

NPI Number	:	1336442870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERALD ISLE ASSISTED LIVING, INC.

Provider Business Mailing Address
First Line	:	520 PALOS VERDES BLVD
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90277-6515
Country	:	US
Telephone Number	:	310-378-2270
Fax Number	:	310-373-5338

Provider Business Practice Location Address
First Line	:	27781 HAWTHORNE BLVD
Second Line	:
City	:	RANCHO PALOS VERDES
State	:	CA
Zip	:	90275-3401
Country	:	US
Telephone Number	:	310-351-7075
Fax Number	:	310-373-5338

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LAURA DAWN MARTZ
Credential	:
Telephone Number	:	310-378-2270

Provider Enumeration Date	:	12/06/2010
Last Update Date	:	12/06/2010

Similar Medicare Providers

1760503791 — DR. JONATHAN DAVID ZAMORA DDS
Practice Location Address:

4609 N RANCHO DR
LAS VEGAS, NV
89130-3401

Practice Phone: 702-645-5657
Practice Fax:

1841586765 — MRS. ELIZABETH GISELLE DAUZ M.A.
Practice Location Address:

5705 RANCHO HILLS DR
SAN DIEGO, CA
92139-3401

Practice Phone: 619-274-0181
Practice Fax:

1821095654 — DR. WESLEY G. BRADFORD MD
Practice Location Address:

5122 OCONTO AVE
RANCHO PALOS VERDES, CA
90275-3733

Practice Phone: 310-541-6686
Practice Fax:

1487648341 — PROSPORT PHYSICAL THERAPY PROFESSIONALS INC
Practice Location Address:

28924 S WESTERN AVE , SUITE 101
RANCHO PALOS VERDES, CA
90275-0885

Practice Phone: 310-548-0104
Practice Fax: 310-548-0559

1558343491 — DR. DEBORAH SUE RIGHTMIER MD
Practice Location Address:

5046 BROWNDEER LN
RANCHO PALOS VERDES, CA
90275-3962

Practice Phone: 310-755-8590
Practice Fax:

1194797258 — DR. FREDERICK D WILLIAMS M.D.
Practice Location Address:

6722 ABBOTTSWOOD DR
RANCHO PALOS VERDES, CA
90275-3018

Practice Phone: 310-422-9458
Practice Fax: 310-541-8891

Directions to “EMERALD ISLE ASSISTED LIVING, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.