Organization
DEPARTMENT OF STATE HOSPITALS
Active
Parent organization
DEPARTMENT OF STATE HOSPITALS
Other names
Department of State Hospitals - Metropolitan
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEPARTMENT OF STATE HOSPITALS
Authorized official
GUADALUPE M ALONZO-DIAZ (ADMINISTRATIVE DEPUTY DIRECTOR)
(916) 654-2655
Entity
Organization
Contact information
Practice address
11401 BLOOMFIELD AVE, NORWALK, CA 90650-2015
(562) 863-7011
Mailing address
1215 O ST # MS -3, SACRAMENTO, CA 95814-5804
(916) 651-8906
(916) 651-8908
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
170000832
CA
314000000X
Skilled Nursing Facility
170000832
CA
3336L0003X
Long Term Care Pharmacy
170000832
CA
Other
Enumeration date
02/14/2006
Last updated
10/19/2021
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