# GOLDEN AGE CONVALESCENT HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden Age Convalescent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730228867
- **Authorized official:** MISS ESTERLITA CORTES TAPANG (PRESIDENT)
- **Authorized official phone:** (408) 761-7000

## Contact information

- **Practice address:** 523 BURLINGAME AVE, CAPITOLA, CA 95010-3307
- **Practice address phone:** (831) 475-0722
- **Practice address fax:** (831) 475-1048
- **Mailing address:** 523 BURLINGAME AVE, CAPITOLA, CA 95010-3307
- **Mailing address phone:** (831) 475-0722
- **Mailing address fax:** (831) 475-1048

## Taxonomy

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

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR18415K | — | CA |