NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1023262029 |   |   |   | SAN MARINO SKILLED NURSING AND WELLNESS CENTRE | 5120 W GODLLEAF CIRCLE | LOS ANGELES | CA | 90056 |
1528348828 |   |   |   | SAN MARINO GARDENS WELLNESS CENTER, LP | 2585 E WASHINGTON BLVD | PASADENA | CA | 911071446 |
1811982176 |   |   |   | COUNTRY VILLA PARK MARINO HEALTHCARE CENTER, LLC | 5120 W GOLDLEAF CIR | LOS ANGELES | CA | 900561292 |
1801412002 | NKANSA | KWASI |   |   | 1719 FREMONT AVE | SOUTH PASADENA | CA | 910304462 |
1568105310 | OGE | RICHARD | BRADLEY |   | 630 N HOLLYWOOD WAY APT 208 | BURBANK | CA | 915053172 |