# SOUTH PASADENA CARE CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** South Pasadena Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134505720
- **Authorized official:** ELLIOT ZEMEL (MEMBER OF LLC)
- **Authorized official phone:** (213) 380-9175

## Contact information

- **Practice address:** 904 MISSION ST, SOUTH PASADENA, CA 91030-3144
- **Practice address phone:** (626) 399-0358
- **Practice address fax:** (626) 460-6097
- **Mailing address:** 831 S LAKE ST, LOS ANGELES, CA 90057-4013
- **Mailing address phone:** (213) 380-9175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2015
- **Last updated:** 03/03/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 970000038 | SKILLED NURSING FACILITY LICENSE | CA |