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NPI Code Detail

MEDICARE: GENKI HEALTHCARE, INC.

MEDICARE: GENKI HEALTHCARE, INC.
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
1314000000XSkilled Nursing FacilityCA

General Provider Information

NPI Number : 1588070692
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENKI HEALTHCARE, INC.
Provider Business Mailing Address
First Line : 2221 LINCOLN PARK AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031-2920
Country : US
Telephone Number : 323-276-5700
Fax Number : 323-276-5732
Provider Business Practice Location Address
First Line : 2221 LINCOLN PARK AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031-2920
Country : US
Telephone Number : 323-276-5700
Fax Number : 323-276-5732
Authorized Official
Title or Position : TREASURER
Name : SOON BURNAM
Credential :
Telephone Number : 949-540-1249
Provider Enumeration Date : 07/09/2014
Last Update Date : 07/09/2014

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Directions to “GENKI HEALTHCARE, INC. ” Practice Location

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