Victoria Healthcare Center

LBN: Costa Victoria Healthcare Llc
Victoria Healthcare Center is an health care organization with primary practice located at 340 Victoria St , Costa Mesa CA 92627-1914. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Costa Victoria Healthcare Llc can be contacted via phone (949) 642-0387, or through Burnam, Soon via phone (949) 540-1249.

Contact Information

Primary practice address
340 Victoria St Costa Mesa CA 92627-1914
Phone: (949) 642-0387
Fax: (949) 646-0313
Website:
Map and Directions
Authorized official contact:
Name: Burnam, Soon
Phone: (949) 540-1249

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 060000086 California

Profile Details

NPI number 1568461275
LBN Legal business name Costa Victoria Healthcare Llc
DBA Doing business as Victoria Healthcare Center
Authorized official Burnam, Soon
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2005
Last updated Feb 17th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568461275 NPPES
California MEDICAID ZZTO5237H

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