Healthcare Provider Details

I. General information

NPI: 1356895130
Provider Name (Legal Business Name): CALIFORNIA POST ACUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2016
Last Update Date: 10/30/2020
Certification Date: 10/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 S LAKE ST
LOS ANGELES CA
90006-2113
US

IV. Provider business mailing address

1267 WILLIS ST STE 200
REDDING CA
96001-0400
US

V. Phone/Fax

Practice location:
  • Phone: 213-385-7301
  • Fax: 213-385-0539
Mailing address:
  • Phone: 818-309-2454
  • 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: CHAIM MOSHE RASKIN
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 818-445-6636