Active NPI
La Habra Villa, LLC
- Assisted Living Facility
- La Habra, CA
National Provider Identifier
1669961587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 306005182
- 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
- Last updated
- May 7, 2018
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 306005182 | CA | Primary |
Addresses
Primary practice location
1100 E.Whittier Blvd
La Habra, CA 90631
Mailing address
407 W College St
Los Angeles, CA 90012-2313
National Provider Directory
National Provider DirectoryLocations
407 W College St
Los Angeles, CA 90012
Phone (213) 626-3589
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Alhambra, CA
- NPI 1669767406
NPI Registry JSON
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": []
}
Other providers in La Habra, CA
Sources for this page
- 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.