# MASONIC HOMES OF CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MASONIC HOMES OF CALIFORNIA
- **Other names:** Citrus Heights Health Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639726102
- **Legal business name:** MASONIC HOMES OF CALIFORNIA
- **Authorized official:** VINCENT L GONZAGA (SKILLED NURSING ADMINISTRATOR)
- **Authorized official phone:** (626) 251-2230

## Contact information

- **Practice address:** 161 S REEDER AVE, COVINA, CA 91724-3129
- **Practice address phone:** (626) 251-2316
- **Mailing address:** 1650 E OLD BADILLO ST, COVINA, CA 91724-3163
- **Mailing address phone:** (626) 251-2316

## Taxonomy

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

## Other

- **Enumeration date:** 08/20/2019
- **Last updated:** 10/17/2023