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Organization
SAN BERNARDINO CARE COMPANY
Active
Organization
SAN BERNARDINO CARE COMPANY
Active
Other names
MEDICAL CENTER CONVALESCENT HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
SOL BERRIENTOS (OWNER)
(909) 884-4781
Entity
Organization
Contact information
Practice address
467 E GILBERT ST, SAN BERNARDINO, CA 92404-5318
(909) 884-4781
Mailing address
1937 PONTIUS AVE, LOS ANGELES, CA 90025-5611
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05149H
—
CA
Enumeration date
10/03/2005
Last updated
08/22/2020
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