Ensign San Dimas LLC
NPI #1497755144 in Glendora, California
Provider Information
- NPI Number
- 1497755144
- Entity Type
- Organization
- Organization Name
- Ensign San Dimas LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 22, 2005
- Last Updated
- Feb 17, 2021
Practice Location
- Address
- 1033 EAST ARROW HIGHWAY
- City
- Glendora
- State
- California
- ZIP Code
- 91740-6110
- Phone
- (626) 963-7531
Authorized Official
- Name
- MS. SOON BURNAM
- Title
- AUTHORIZED AGENT OFFICER
- Phone
- (949) 540-1249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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