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Organization
SOUTH PASADENA CARE CENTER, LLC
Active
Organization
SOUTH PASADENA CARE CENTER, LLC
Active
Other names
South Pasadena Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOT ZEMEL (MEMBER OF LLC)
(213) 380-9175
Entity
Organization
Contact information
Practice address
904 MISSION ST, SOUTH PASADENA, CA 91030-3144
(626) 399-0358
(626) 460-6097
Mailing address
831 S LAKE ST, LOS ANGELES, CA 90057-4013
(213) 380-9175
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970000038
SKILLED NURSING FACILITY LICENSE
CA
Enumeration date
08/05/2015
Last updated
03/03/2016
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