# RG LEGACY II LLC

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

## Provider details

- **NPI number:** 1225637994
- **Authorized official:** EZEQUIEL BERCOVICH (MANAGER)
- **Authorized official phone:** (213) 948-0793

## Contact information

- **Practice address:** 1570 N FAIR OAKS AVE, PASADENA, CA 91103-1822
- **Practice address phone:** (626) 798-0558
- **Practice address fax:** (626) 798-8240
- **Mailing address:** 1570 N FAIR OAKS AVE, PASADENA, CA 91103-1822
- **Mailing address phone:** (626) 798-1111
- **Mailing address fax:** (626) 374-1901

## Taxonomy

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

## Other

- **Enumeration date:** 10/22/2020
- **Last updated:** 10/11/2024