# GREENFIELD CARE CENTER OF SOUTH GATE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790772465
- **Authorized official:** MR. JENG H CHEN (OWNER)
- **Authorized official phone:** (310) 889-9929

## Contact information

- **Practice address:** 8455 STATE ST, SOUTH GATE, CA 90280-2330
- **Practice address phone:** (323) 564-7761
- **Mailing address:** 1937 PONTIUS AVE, LOS ANGELES, CA 90025-5611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 940000160 | CA | Yes |

## Other

- **Enumeration date:** 09/28/2005
- **Last updated:** 03/25/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT06217K | — | CA |