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General NPI Number Information
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NPI Number | 1568818367
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Entity Type | Organization
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Legal Business Name | VISTA DEL SOL POSTACUTE CARE
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Dates
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Enumeration Date | 05/11/2016
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 1711 RICHLAND AVE
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City | CERES
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State | CA
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Zip | 95307-4509
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Country | US
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Telephone | 209-537-4581
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Fax | 562-457-5584
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Provider Business Mailing Address
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Address Line | 721 N EUCLID ST STE 200
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City | ANAHEIM
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State | CA
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Zip | 92801-4116
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Country | US
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Telephone | 424-349-7108
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Fax | 562-457-5584
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Authorized Official
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Title or Position | CEO
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Name | MANEESH A BANSAL
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Credential |
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Telephone | 424-349-7108
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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 |
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License Number State |
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