MEDICARE: LEMON GROVE HEALTH ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	090000067	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336134204
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEMON GROVE HEALTH ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	8351 BROADWAY
Second Line	:
City	:	LEMON GROVE
State	:	CA
Zip	:	91945-2009
Country	:	US
Telephone Number	:	619-463-0294
Fax Number	:	619-461-1064

Provider Business Practice Location Address
First Line	:	8351 BROADWAY
Second Line	:
City	:	LEMON GROVE
State	:	CA
Zip	:	91945-2009
Country	:	US
Telephone Number	:	619-463-0294
Fax Number	:	619-461-1064

Authorized Official
Title or Position	:	TREASURER
Name	:	SOON BURNAM
Credential	:
Telephone Number	:	949-540-1249

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	02/17/2021

Similar Medicare Providers

1851749410 — MICHAEL ROMERO MEDICAL CORP
Practice Location Address:

8351 BROADWAY
LEMON GROVE, CA
91945-2009

Practice Phone: 619-251-6000
Practice Fax:

1649735713 — MR. ERICH EARL SEELYE OT
Practice Location Address:

8351 BROADWAY
LEMON GROVE, CA
91945-2009

Practice Phone: 619-463-0294
Practice Fax:

1356156517 — BROADVIEW RECOVERY INC
Practice Location Address:

2009 69TH ST
LEMON GROVE, CA
91945-3409

Practice Phone: 619-805-5105
Practice Fax:

1699701607 — MS. ROBIN LOUISE COLBERT MS, RD, LDN
Practice Location Address:

3816 S COTTAGE GROVE AVE , UNIT 201
CHICAGO, IL
60653-2009

Practice Phone: 773-403-1886
Practice Fax:

1366692030 — YU TUNG CLEMENT CHAN
Practice Location Address:

2043 COLLEGE WAY , UC# 2009
FOREST GROVE, OR
97116-1756

Practice Phone: 971-227-9693
Practice Fax:

1801292933 — ME AND MY DOCTOR, LTD
Practice Location Address:

800 BIESTERFIELD RD , BROCK MEDICAL PLAZA, SUITE 2009
ELK GROVE VILLAGE, IL
60007-3361

Practice Phone: 630-220-9961
Practice Fax:

Directions to “LEMON GROVE HEALTH ASSOCIATES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.