Jomi Alta5 Icfdd N
NPI #1124169537 in Altadena, California
Provider Information
- NPI Number
- 1124169537
- Entity Type
- Organization
- Organization Name
- Jomi Alta5 Icfdd N
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Feb 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2075 EL MOLINO AVE
- City
- Altadena
- State
- California
- ZIP Code
- 91001-3051
- Phone
- (626) 791-1321
Authorized Official
- Name
- MR. ROGER V CUEVAS
- Title
- BUSINESS MANAGER
- Phone
- (818) 841-1044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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