# PACIFIC CARE NURSING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PACIFIC CARE NURSING CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518954122
- **Authorized official:** JOHN HENRY SY (VP OF REVENUE MANAGEMENT)
- **Authorized official phone:** (562) 930-0777

## Contact information

- **Practice address:** 3355 PACIFIC PL, LONG BEACH, CA 90806-1239
- **Practice address phone:** (562) 595-4336
- **Practice address fax:** (562) 424-6499
- **Mailing address:** 3355 PACIFIC PL, LONG BEACH, CA 90806-1239
- **Mailing address phone:** (562) 595-4336
- **Mailing address fax:** (562) 424-6499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 940000129 | CA | Yes |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 05/28/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC70169F | — | CA |
| 05 | — | ZZT06007H | — | CA |