# TRINITY OAKLAND, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Country Oaks Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689769358
- **Authorized official:** RANDAL KLEIS (PRESIDENT)
- **Authorized official phone:** (425) 820-9750

## Contact information

- **Practice address:** 215 W PEARL ST, POMONA, CA 91768-3114
- **Practice address phone:** (909) 622-1067
- **Practice address fax:** (909) 622-0412
- **Mailing address:** 215 W PEARL ST, POMONA, CA 91768-3114
- **Mailing address phone:** (909) 622-1067
- **Mailing address fax:** (909) 622-0412

## Taxonomy

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

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 08/21/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05247K | — | CA |