# SOUTH BAY SUNSET PAVILION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356849061
- **Authorized official:** RASMIA ROGONG RN (CEO)
- **Authorized official phone:** (310) 462-4942

## Contact information

- **Practice address:** 1565 GULF AVE, WILMINGTON, CA 90744-2011
- **Practice address phone:** (310) 729-5118
- **Mailing address:** 1565 GULF AVE, WILMINGTON, CA 90744-2011
- **Mailing address phone:** (310) 729-5118

## Taxonomy

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

## Other

- **Enumeration date:** 01/28/2018
- **Last updated:** 01/28/2018