# TAG-2 MEDICAL INVESTMENT GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunny Village Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730483058
- **Authorized official:** DR. KENNETH T SIM M.D. (PRESIDENT)
- **Authorized official phone:** (626) 943-6298

## Contact information

- **Practice address:** 1516 S MARENGO AVE, ALHAMBRA, CA 91803-3055
- **Practice address phone:** (626) 576-1032
- **Mailing address:** 1668 S GARFIELD AVE FL 2, ALHAMBRA, CA 91801-5400
- **Mailing address phone:** (626) 943-6298

## Taxonomy

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

## Other

- **Enumeration date:** 12/29/2010
- **Last updated:** 12/31/2020