Healthcare Provider Details

I. General information

NPI: 1346238938
Provider Name (Legal Business Name): ROYAL SORENSON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2005
Last Update Date: 12/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7931 SORENSEN AVE
WHITTIER CA
90606-2418
US

IV. Provider business mailing address

7931 SORENSEN AVE
WHITTIER CA
90606-2418
US

V. Phone/Fax

Practice location:
  • Phone: 562-698-0451
  • Fax: 562-945-6451
Mailing address:
  • Phone: 562-698-0451
  • Fax: 562-945-6451

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: LYDIA FLORO CRUZ
Title or Position: PRESIDENT
Credential:
Phone: 323-965-0600