La Habra Villa, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

306005182 Issued in CA

Legal business name

LA HABRA VILLA, LLC

Practice address

1100 E.Whittier Blvd
La Habra, CA 90631

Phone

(562) 694-6515

NPI assigned

May 7, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victor Le

Title

Ceo

Phone

(714) 612-9309

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1669961587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W COLLEGE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E.WHITTIER BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "90631",
            "telephone_number": "562-694-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA HABRA VILLA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-612-9309"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "306005182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Habra City SD
• La Habra Dental Office of Alborz Mehdizadeh Inc
• La Habra Family Medical Clinic
• La Habra Hills Optometry, Inc.
• La Habra Post Acute LLC
• Justin La
• Lakeside Hospice Care, Inc.
• Sabrina Lam
• Lancea Capsule Corporation
• Yesenia Lara, SLPA

• Assisted Living Facility in La Habra, CA
• Providers in La Habra, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.