Organization · Type 2 NPI

Rand Schrader 5p21 Clinic

Nursing Facility/Intermediate Care Facility · Los Angeles, CA

NPI number 1699175364 Active

Practice location

1300 N Mission Rd
Los Angeles, CA 90033-1021

Mailing address

811 S Wilton Pl, Apt 7
Los Angeles, CA 90005-3544

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X272539 (CA)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1699175364

Rand Schrader 5p21 Clinic's National Provider Identifier is 1699175364, issued on Aug 29, 2014. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 29, 2014.