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Organization
SAN GABRIEL POST ACUTE LLC
Active
Organization
SAN GABRIEL POST ACUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL SOLORZANO (MANAGER)
(626) 346-0300
Entity
Organization
Contact information
Practice address
6812 OAK AVE, SAN GABRIEL, CA 91775-2030
(626) 446-5263
Mailing address
107 W LEMON AVE, MONROVIA, CA 91016-2809
(626) 346-0300
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
555825
MEDICARE PTAN
CA
Enumeration date
06/18/2019
Last updated
06/18/2019
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