Healthcare Provider Details

I. General information

NPI: 1235057639
Provider Name (Legal Business Name): PINE RESIDENTIAL VILLA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3266 PINE AVE
LONG BEACH CA
90807-5051
US

IV. Provider business mailing address

3266 PINE AVE
LONG BEACH CA
90807-5051
US

V. Phone/Fax

Practice location:
  • Phone: 310-422-0950
  • Fax:
Mailing address:
  • Phone: 310-422-0950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE PORCA
Title or Position: LICENSEE
Credential:
Phone: 310-422-0950