3360 MAGNOLIA AVE. INC NPI 1174057186

NPI Information

NPI: 1174057186
Provider Name: 3360 MAGNOLIA AVE. INC

Doing Business As: VISTA DEL MAR SENIOR LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3360 MAGNOLIA AVE
LONG BEACH, CA
ZIP 90806
Phone: (562) 595-1559
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3360 MAGNOLIA AVE. INC is an assisted living facility in Long Beach, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. 3360 MAGNOLIA AVE. INC NPI is 1174057186. The provider is registered as an organization entity type.
The provider Is Doing Business As Vista Del Mar Senior Living.

The provider's business location address is:

3360 MAGNOLIA AVE
LONG BEACH, CA
ZIP 90806-234
Phone: (562) 595-1559

The provider's authorized official is James Bender .
The authorized official title is Vice President and has the following contact phone number (562) 595-1559.

The enumeration date for this NPI number is 4/17/2017 and was last updated on 4/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		197608029	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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