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Organization
THE CALIFORNIA-PASADENA CONV HOSP
Active
Organization
THE CALIFORNIA-PASADENA CONV HOSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN H GARRETT (CEO)
(626) 793-5114
Entity
Organization
Contact information
Practice address
120 BELLEFONTAINE ST, PASADENA, CA 91105-3102
(626) 793-5114
Mailing address
120 BELLEFONTAINE ST, PASADENA, CA 91105-3102
(626) 793-5114
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
9700000033
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437157567
MEDICARE NPI
CA
Enumeration date
01/22/2014
Last updated
01/22/2014
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