# SAN MARINO SKILLED NURSING AND WELLNESS CENTRE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Marino Skilled Nursing and Wellness Centre
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023262029
- **Authorized official:** CHERYL A PETTERSON (V.P. CAMS)
- **Authorized official phone:** (310) 574-3733

## Contact information

- **Practice address:** 2585 E WASHINGTON BLVD, PASADENA, CA 91107
- **Practice address phone:** (626) 463-4105
- **Mailing address:** 5120 W GODLLEAF CIRCLE, 400, LOS ANGELES, CA 90056
- **Mailing address phone:** (310) 574-3733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 970000088 | CA | Yes |

## Other

- **Enumeration date:** 11/05/2008
- **Last updated:** 01/13/2009