Healthcare Provider Details

I. General information

NPI: 1700987922
Provider Name (Legal Business Name): EXTENDED CARE HOSPITAL OF WESTMINSTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 HOSPITAL CIRCLE
WESTMINSTER CA
92683
US

IV. Provider business mailing address

206 HOSPITAL CIRCLE
WESTMINSTER CA
92683
US

V. Phone/Fax

Practice location:
  • Phone: 714-891-2769
  • Fax:
Mailing address:
  • Phone: 714-891-2769
  • Fax:

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: PAMELA DUKE
Title or Position: OFFICE MANAGER
Credential:
Phone: 714-891-2769