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NPI Code Detail

MEDICARE: ENSIGN WHITTIER WEST LLC

MEDICARE: ENSIGN WHITTIER WEST 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
1314000000XSkilled Nursing Facility940000019CA

Other Identifiers

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

General Provider Information

NPI Number : 1740289982
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENSIGN WHITTIER WEST LLC
Provider Business Mailing Address
First Line : 12385 EAST WASHINGTON BLVD
Second Line :
City : WHITTIER
State : CA
Zip : 90606-2502
Country : US
Telephone Number : 562-693-7701
Fax Number : 562-693-6037
Provider Business Practice Location Address
First Line : 12385 EAST WASHINGTON BLVD
Second Line :
City : WHITTIER
State : CA
Zip : 90606-2502
Country : US
Telephone Number : 562-693-7701
Fax Number : 562-693-6037
Authorized Official
Title or Position : AUTHORIZED AGENT
Name : MS. SOON E BURNAM
Credential :
Telephone Number : 949-540-1249
Provider Enumeration Date : 07/19/2005
Last Update Date : 02/17/2021

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Directions to “ENSIGN WHITTIER WEST LLC ” Practice Location

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