# SYCAMORE PARK CARE CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1871529867
- **Authorized official:** MR. PETE STONG (GOVERNING BODY)
- **Authorized official phone:** 13232233441

## Contact information

- **Practice address:** 4585 N FIGUEROA ST, LOS ANGELES, CA 90065-3026
- **Practice address phone:** (132) 322-3244
- **Practice address fax:** (132) 322-3956
- **Mailing address:** 4585 N FIGUEROA ST, LOS ANGELES, CA 90065-3026
- **Mailing address phone:** (132) 322-3244
- **Mailing address fax:** (132) 322-3956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 970000054 | CA | Yes |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 09/08/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZTO5163F | — | CA |