Healthcare Provider Details

I. General information

NPI: 1013679844
Provider Name (Legal Business Name): PACIFIC COAST CONGREGATE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2021
Last Update Date: 10/08/2021
Certification Date: 10/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 FULTON ST
CAMARILLO CA
93010-6545
US

IV. Provider business mailing address

390 FULTON ST
CAMARILLO CA
93010-6545
US

V. Phone/Fax

Practice location:
  • Phone: 818-575-0075
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MIKE NAZLIKIAN
Title or Position: OWNER
Credential:
Phone: 818-575-0075