DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MAR VISTA NURSING CENTER LLC

MEDICARE: MAR VISTA NURSING CENTER 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 Facility910000077CA

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 : 1972878718
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAR VISTA NURSING CENTER LLC
Provider Business Mailing Address
First Line : 5120 W GOLDLEAF CIR STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90056-1297
Country : US
Telephone Number : 323-596-2145
Fax Number : 323-596-4645
Provider Business Practice Location Address
First Line : 3966 MARCASEL AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-4616
Country : US
Telephone Number : 310-397-2372
Fax Number : 310-397-2383
Authorized Official
Title or Position : CEO/CHAIRMAN
Name : MR. STEPHEN REISSMAN
Credential :
Telephone Number : 310-574-3733
Provider Enumeration Date : 03/13/2012
Last Update Date : 03/13/2012

Similar Medicare Providers

1689677122 — DR. SUSAN CANNING M.D.
Practice Location Address:
3966 MARCASEL AVE
LOS ANGELES, CA
90066-4616
Practice Phone: 949-482-1930
Practice Fax: 216-273-9998
1437143641 — RRT ENTERPRISES LP
Practice Location Address:
3966 MARCASEL AVE
LOS ANGELES, CA
90066-4616
Practice Phone: 310-397-2372
Practice Fax: 310-397-2383
1467642702 — MATTHEW AARON FREY RPT
Practice Location Address:
3966 MARCASEL AVE
LOS ANGELES, CA
90066-4616
Practice Phone: 310-397-2372
Practice Fax: 310-915-2086
1992999155 — MRS. YULIA S MCAFEE M.S., CCC-SLP
Practice Location Address:
3966 MARCASEL AVE
LOS ANGELES, CA
90066-4616
Practice Phone: 310-397-2372
Practice Fax:
1720488067 — MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP
Practice Location Address:
3966 MARCASEL AVE
LOS ANGELES, CA
90066-4616
Practice Phone: 310-397-2372
Practice Fax: 310-397-2383
1811535552 — DEANNA RONNE RDN CDN LDN
Practice Location Address:
3990 MARCASEL AVE
LOS ANGELES, CA
90066-4616
Practice Phone: 781-635-4926
Practice Fax: 833-892-0506

Directions to “MAR VISTA NURSING CENTER 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 © 2007-2025 (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.