Fidelity Healthcare Center

LBN: Mid-Wilshire Health Care Center
Fidelity Healthcare Center is an health care organization with primary practice located at 11210 Lower Azusa Rd , El Monte CA 91731-1412. 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. Mid-Wilshire Health Care Center can be contacted via phone (626) 442-6863, or through Lee, Jeoung Hie via phone (323) 934-5660.

Contact Information

Primary practice address
11210 Lower Azusa Rd El Monte CA 91731-1412
Fax: (626) 350-3006
Website:
Authorized official contact:
Name: Lee, Jeoung Hie

Health care specialties

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

Profile Details

NPI number 1194898205
LBN Legal business name Mid-Wilshire Health Care Center
DBA Doing business as Fidelity Healthcare Center
Authorized official Lee, Jeoung Hie
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2006
Last updated Apr 18th, 2022 - about 2 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 1194898205 NPPES
California MEDICAID ZZT06191K

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