Cheviot Garden LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

910000090 Issued in CA

Legal business name

CHEVIOT GARDEN LP

Practice address

3533 Motor Ave
Los Angeles, CA 90034-4806

Phone

(310) 836-8900

Fax

(310) 815-9786

NPI assigned

Sep 13, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Stephen E. Reissman

Title

President of CVHS, Manager

Phone

(310) 574-3733

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Country Villa Cheviot Garden Healthcare Center Doing business as

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1720073059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 W GOLDLEAF CIR",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561292",
            "telephone_number": "310-574-3733",
            "fax_number": "310-574-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 MOTOR AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900344806",
            "telephone_number": "310-836-8900",
            "fax_number": "310-815-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEVIOT GARDEN LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "REISSMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT OF CVHS, MANAGER",
        "authorized_official_telephone_number": "310-574-3733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "910000090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06273K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Villa Cheviot Garden Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virginia Cheung, PHARMD
• Willy Cheung, DO
• Jose Miguel Chevalier
• Shaun Colette Chevalier, CF-SLP
• Myriam Chevarie-Davis, M.D.
• Ebony Chew
• Kara Wei Wei Chew, M.D.
• Nancy Chew
• Phillip C Chew, MSPAS, PA-C, MPH
• Anna Soksambath Chey, MH REHAB SPECIALIST

• Skilled Nursing Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.