MEDICARE: SUNLAND SNF, 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

General Provider Information

NPI Number	:	1346808987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNLAND SNF, LLC

Provider Business Mailing Address
First Line	:	10158 SUNLAND BLVD
Second Line	:
City	:	SUNLAND
State	:	CA
Zip	:	91040-1651
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10158 SUNLAND BLVD
Second Line	:
City	:	SUNLAND
State	:	CA
Zip	:	91040-1651
Country	:	US
Telephone Number	:	626-793-6152
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	STEVEN BERGER
Credential	:
Telephone Number	:	818-352-4438

Provider Enumeration Date	:	05/30/2019
Last Update Date	:	09/17/2025

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Directions to “SUNLAND SNF, LLC ” Practice Location

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