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General NPI Number Information
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NPI Number | 1467447037
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Entity Type | Organization
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Legal Business Name | ENSIGN PANORAMA LLC
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 10/22/2021
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Provider Practice Location Address
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Address Line | 9541 VAN NUYS BLVD
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City | PANORAMA CITY
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State | CA
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Zip | 91402-1315
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Country | US
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Telephone | 818-893-6385
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Fax | 818-893-2924
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Provider Business Mailing Address
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Address Line | 9541 VAN NUYS BLVD
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City | PANORAMA CITY
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State | CA
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Zip | 91402-1315
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Country | US
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Telephone | 818-893-6385
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Fax | 818-893-2924
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Authorized Official
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Title or Position | TREASURER
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Name | SOON BURNAM
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Credential |
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Telephone | 949-540-1249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 920000053
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License Number State | CA
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