# HUMANGOOD SOCAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Royal Oaks Manor - Bradbury Oaks
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083689848
- **Authorized official:** GWEN ELLEN VANGELISTO (DIRECTOR OF ACCOUNTS RECEIVABLE)
- **Authorized official phone:** (949) 463-0893

## Contact information

- **Practice address:** 1763 ROYAL OAKS DR, DUARTE, CA 91010-1970
- **Practice address phone:** (626) 359-9371
- **Practice address fax:** (626) 358-6588
- **Mailing address:** 1900 HUNTINGTON DR, DUARTE, CA 91010-2694
- **Mailing address phone:** (818) 247-0420
- **Mailing address fax:** (949) 528-2434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 950000121 | CA | Yes |

## Other

- **Enumeration date:** 02/22/2006
- **Last updated:** 06/02/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55503F | — | CA |