# DEL RIO SANITARIUM, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Del Rio Gardens Care Center, Del Rio Sanitarium
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487642336
- **Authorized official:** ROBERT VILLALUZ (ADMINISTRATOR)
- **Authorized official phone:** (562) 927-6586

## Contact information

- **Practice address:** 7004 E GAGE AVE, BELL GARDENS, CA 90201-2014
- **Practice address phone:** (562) 927-6586
- **Practice address fax:** (562) 928-5097
- **Mailing address:** 7004 E GAGE AVE, BELL GARDENS, CA 90201-2014
- **Mailing address phone:** (562) 927-6586
- **Mailing address fax:** (562) 928-5097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 940000053 | CA | Yes |

## Other

- **Enumeration date:** 10/13/2005
- **Last updated:** 03/08/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 206190235 | OSHPD | CA |
| 05 | — | ZZT18080I | — | CA |