# MARLINDA IMPERIAL, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Marlinda Imperial Convalescent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548332117
- **Authorized official:** LINDA GASSOUMIS (CFO)
- **Authorized official phone:** (310) 638-6691

## Contact information

- **Practice address:** 150 BELLEFONTAINE ST, PASADENA, CA 91105-3102
- **Practice address phone:** (626) 796-1103
- **Mailing address:** 150 BELLEFONTAINE ST, PASADENA, CA 91105-3102
- **Mailing address phone:** (626) 796-1103

## Taxonomy

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

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT06080G | — | CA |