Healthcare Provider Details

I. General information

NPI: 1669604369
Provider Name (Legal Business Name): SKILLED FACILITY HEALTH CARE SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2009
Last Update Date: 03/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12021 WILSHIRE BLVD # 745
LOS ANGELES CA
90025-1206
US

IV. Provider business mailing address

12021 WILSHIRE BLVD # 745
LOS ANGELES CA
90025-1206
US

V. Phone/Fax

Practice location:
  • Phone: 310-348-1900
  • Fax:
Mailing address:
  • Phone: 310-348-1900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: BARDIA AARON ANVAR
Title or Position: OWNER
Credential: MD
Phone: 310-348-1900