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
Phone: (626) 442-6863
Fax: (626) 350-3006
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194898205 | NPPES |
California | MEDICAID | ZZT06191K |
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