OrganizationActive
533 South Fairfax Avenue Inc
NPI 1639166242 · Skilled Nursing Facility · Los Angeles, CA
Provider details
- NPI number
- 1639166242
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- John Sy, Vp of Revenue Management
- License
- 910000146 (CA)
Practice location
533 S Fairfax Ave
Los Angeles, CA 90036-3129
Phone: (323) 931-1061
Fax: (323) 931-1943
Mailing address
4115 E Broadway
Long Beach, CA 90803-1532
Registry dates
- Enumerated
- 2005-09-29
- Last updated
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.