# GREENFIELD CARE CENTER OF GARDENA

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

## Provider details

- **NPI number:** 1629241120
- **Authorized official:** DR. JENQ HORNG CHEN (PRESIDENT)
- **Authorized official phone:** (310) 889-9929

## Contact information

- **Practice address:** 16530 S BROADWAY ST, GARDENA, CA 90248-2714
- **Practice address phone:** (310) 329-9929
- **Practice address fax:** (310) 329-1024
- **Mailing address:** 1937 PONTIUS AVE, LOS ANGELES, CA 90025-5611
- **Mailing address phone:** (310) 889-9929
- **Mailing address fax:** (310) 889-9939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 910000007 | CA | Yes |

## Other

- **Enumeration date:** 04/07/2008
- **Last updated:** 01/19/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1629241120 | — | CA |