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Organization

HUMANGOOD SOCAL

Active
Other names
Royal Oaks Manor - Bradbury Oaks
Organization subpart
No

Provider details

NPI number
Authorized official
GWEN ELLEN VANGELISTO (DIRECTOR OF ACCOUNTS RECEIVABLE)
(949) 463-0893
Entity
Organization

Contact information

Practice address
1763 ROYAL OAKS DR, DUARTE, CA 91010-1970
(626) 359-9371
(626) 358-6588
Mailing address
1900 HUNTINGTON DR, DUARTE, CA 91010-2694
(818) 247-0420
(949) 528-2434

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
950000121
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LTC55503F
CA
Enumeration date
02/22/2006
Last updated
06/02/2025
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