Healthcare Provider Details

I. General information

NPI: 1811224413
Provider Name (Legal Business Name): WINDSOR CHEVIOT HILLS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2009
Last Update Date: 11/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3533 MOTOR AVE
LOS ANGELES CA
90034-4806
US

IV. Provider business mailing address

3533 MOTOR AVE
LOS ANGELES CA
90034-4806
US

V. Phone/Fax

Practice location:
  • Phone: 310-836-8900
  • Fax:
Mailing address:
  • Phone: 310-836-8900
  • Fax: 310-836-9984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ASH CHAWLA
Title or Position: VICE PRESIDENT OF FINANCE
Credential: CPA
Phone: 310-385-1090