Healthcare Provider Details

I. General information

NPI: 1992636500
Provider Name (Legal Business Name): VILLA CHARESA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2451 W 235TH ST
TORRANCE CA
90501-5710
US

IV. Provider business mailing address

2451 W 235TH ST
TORRANCE CA
90501-5710
US

V. Phone/Fax

Practice location:
  • Phone: 310-404-1678
  • Fax:
Mailing address:
  • Phone: 310-404-1678
  • 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: MS. CHARESA REYES
Title or Position: ADMINSTRATION
Credential: LICENSEE
Phone: 310-404-1678