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Organization
DAVID ROSS INC.
Active
Organization
DAVID ROSS INC.
Active
Other names
ROSE GARDEN CONVALESCENT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND PELLICER (ADMINISTRATOR)
(626) 797-2120
Entity
Organization
Contact information
Practice address
1899 NORTH RAYMOND AVENUE, PASADENA, CA 91103
(626) 797-2120
(626) 797-2536
Mailing address
1899 NORTH RAYMOND AVENUE, PASADENA, CA 91103
(626) 797-2120
(626) 797-2536
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970000079
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC70166F
—
CA
05
—
ZZT05862I
—
CA
Enumeration date
06/20/2005
Last updated
01/04/2016
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