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NPI Code Detail

MEDICARE: S&F MARKET STREET HEALTHCARE, LLC

MEDICARE: S&F MARKET STREET HEALTHCARE, LLC
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
1314000000XSkilled Nursing Facility940000080CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942389531
Entity Type Code : Organization
Provider Name (Legal Business Name) : S&F MARKET STREET HEALTHCARE, LLC
Provider Business Mailing Address
First Line : 9200 WEST SUNSET BOULEVARD
Second Line : 700
City : WEST HOLLYWOOD
State : CA
Zip : 90069-3502
Country : US
Telephone Number : 310-385-1090
Fax Number :
Provider Business Practice Location Address
First Line : 260 E MARKET ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-5910
Country : US
Telephone Number : 562-428-4681
Fax Number : 562-428-8049
Authorized Official
Title or Position : VICE PRESIDENT FINANCE
Name : MR. ASH CHAWLA
Credential :
Telephone Number : 310-385-1090
Provider Enumeration Date : 11/03/2006
Last Update Date : 04/30/2014

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Directions to “S&F MARKET STREET HEALTHCARE, LLC ” Practice Location

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