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Organization
PACIFIC PARK HEALTHCARE CENTER LLC
Active
Organization
PACIFIC PARK HEALTHCARE CENTER LLC
Active
Parent organization
PACIFIC HEALTHCARE GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PACIFIC HEALTHCARE GROUP LLC
Authorized official
CRYSTAL SOLORZANO (MANAGER)
(626) 346-0300
Entity
Organization
Contact information
Practice address
525 S CENTRAL AVE, GLENDALE, CA 91204-2006
(626) 658-7344
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
05
—
ZZT06190F
—
CA
Enumeration date
01/14/2019
Last updated
01/14/2019
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