1790789170 GHC OF LAKESIDE, LLC

Skilled Nursing Facility

Active

Basic Information

Organization Name
GHC OF LAKESIDE, LLC
Enumeration Date
June 13, 2005
Last Update
August 5, 2024
Authorized Official
LOIS MASTROCOLA
CHIEF FINANCIAL OFFICER
Phone: (714) 241-5600

Practice Location

Address
11962 WOODSIDE AVE
LAKESIDE, CA 920402914
Phone
(619) 561-1222
Fax
(619) 390-9487

Mailing Address

Address
11962 WOODSIDE AVE
LAKESIDE, CA 920402914
Phone
(619) 561-1222
Fax
(619) 390-9487

Specialties & Taxonomies

Specialty Code Classification License State Primary
Skilled Nursing Facility
314000000X Skilled Nursing Facility 080000111 CA Primary

Other Identifiers

Identifier Type State Issuer
ZZT18594H 05 CA N/A

Digital Endpoints

CONNECT Use: OTHER

https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service

2.16.840.1.113883.3.667.2

Affiliation: Ability Network

Frequently Asked Questions

What is GHC OF LAKESIDE, LLC's NPI number?
GHC OF LAKESIDE, LLC's NPI number is 1790789170.
Which doctor has NPI number 1790789170?
The doctor with NPI number 1790789170 is GHC OF LAKESIDE, LLC.
What is GHC OF LAKESIDE, LLC's practice address?
GHC OF LAKESIDE, LLC's practice address is 11962 WOODSIDE AVE, LAKESIDE, CA, 920402914.
Which doctor practices at 11962 WOODSIDE AVE, LAKESIDE, CA, 920402914?
GHC OF LAKESIDE, LLC practices at 11962 WOODSIDE AVE, LAKESIDE, CA, 920402914.
What is GHC OF LAKESIDE, LLC's phone number?
GHC OF LAKESIDE, LLC's phone number is (619) 561-1222.
Who is (619) 561-1222?
(619) 561-1222 is the phone number for GHC OF LAKESIDE, LLC.
What is GHC OF LAKESIDE, LLC's specialty?
GHC OF LAKESIDE, LLC's specialty is Skilled Nursing Facility.
What type of doctor is GHC OF LAKESIDE, LLC?
GHC OF LAKESIDE, LLC is a Skilled Nursing Facility.
Is GHC OF LAKESIDE, LLC a Skilled Nursing Facility?
Yes, GHC OF LAKESIDE, LLC is a Skilled Nursing Facility.
Is GHC OF LAKESIDE, LLC still practicing?
Yes, GHC OF LAKESIDE, LLC is currently practicing.
Is GHC OF LAKESIDE, LLC accepting new patients?
GHC OF LAKESIDE, LLC may be accepting new patients. Please call their office at (619) 561-1222 to inquire about availability.
Is NPI 1790789170 still active?
Yes, NPI 1790789170 is currently active.
Where does GHC OF LAKESIDE, LLC practice?
GHC OF LAKESIDE, LLC practices in LAKESIDE, CA.