La Mirada Healtchare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LA MIRADA HEALTCHARE LLC

Practice address

11926 La Mirada Blvd
La Mirada, CA 90638-1303

Phone

(562) 943-7156

NPI assigned

Oct 10, 2014

Organization subpart

No

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

Authorized official

Name

Michael Gastwirth

Title

Owner

Phone

(818) 985-6600

Specialties & licenses 1

Addresses

Tax ID family

La Mirada Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• La Mirada Healthcare, LLC

  • Skilled Nursing Facility
  • La Mirada, CA
  • NPI 1255742904
  NPD tax ID

Locations

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1740684380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11440 VENTURA BLVD STE 200",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11926 LA MIRADA BLVD",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381303",
            "telephone_number": "562-943-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MIRADA HEALTCHARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "GASTWIRTH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-985-6600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Konrad Kirk Kuenstler, PT
• Jana Kukla
• Kwangsun C Shin
• Young Je Kwon
• La Mirada Family Dental
• La Mirada Healthcare, LLC
• La Mirada Optometry
• La Mirada Optometry, Inc.
• La Mirada Post Acute LLC
• Maria Elizabeth Ladd, R.D.H.A.P.

• Skilled Nursing Facility in La Mirada, CA
• Providers in La Mirada, 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 Oct 10, 2014; 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.