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Contact Information

PACIFICA OF THE VALLEY CORPORATION
9449 SAN FERNANDO ROAD
SUN VALLEY, CA91352
 Phone: 818-767-3310
 Fax: 818-252-2291
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

General Acute Care Hospital

282N00000X A0[7] Hospital-General
Indicates primary specialty

NPI Profile & details for PACIFICA OF THE VALLEY CORPORATION

NPI Number 1891857389
LBN Legal business name PACIFICA OF THE VALLEY CORPORATION
Authorized official GEORGE WATKINS - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/14/2006
Last updated 12/18/2023 - About 2 years ago
Identifiers
CA License # 930000148
CA Medicaid LTC 55217G
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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