Provider Demographics
NPI:1447779343
Name:DORTEN ENTERPRISES
Entity Type:Organization
Organization Name:DORTEN ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HALPERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-578-5530
Mailing Address - Street 1:4221 WILSHIRE BLVD STE 482
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-3504
Mailing Address - Country:US
Mailing Address - Phone:323-896-9400
Mailing Address - Fax:
Practice Address - Street 1:26933 CORNELL ST
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92544-7458
Practice Address - Country:US
Practice Address - Phone:951-658-1068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-12
Last Update Date:2017-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA331800223310400000X
CA331800224310400000X
CA331800225310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility