Organization
GATEWAY HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
29222 RANCHO VIEJO RD STE 127, SAN JUAN CAPISTRANO, CA 92675
(949) 487-9500
(949) 540-1966
Mailing address
29222 RANCHO VIEJO RD STE 127, SAN JUAN CAPISTRANO, CA 92675-1049
(949) 487-9500
(949) 540-1966
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/09/2018
Last updated
09/26/2019
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