# VISTA COVE CARE CENTER AT SAN GABRIEL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vista Cove Care Center at San Gabriel
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659458271
- **Authorized official:** MR. BONAPARTE LIU (TREASURER)
- **Authorized official phone:** (626) 644-4664

## Contact information

- **Practice address:** 909 W SANTA ANITA ST, SAN GABRIEL, CA 91776-1018
- **Practice address phone:** (626) 289-5365
- **Practice address fax:** (626) 289-9503
- **Mailing address:** 909 W SANTA ANITA ST, SAN GABRIEL, CA 91776-1018
- **Mailing address phone:** (626) 289-5365
- **Mailing address fax:** (626) 289-9503

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 12/09/2008