Organization
SAN BRUNO SKILLED NURSING HOSPITAL, INC.
Active
Other names
San Bruno Skilled Nursing Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PREIMESBERGER (PRESIDENT)
(213) 503-4114
Entity
Organization
Contact information
Practice address
890 EL CAMINO REAL, SAN BRUNO, CA 94066-3137
(650) 583-7768
(650) 583-9710
Mailing address
5000 EXECUTIVE PKWY, SUITE 150, SAN RAMON, CA 94583-4210
(925) 855-0881
(925) 855-9297
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
220000042
CA
332B00000X
Durable Medical Equipment & Medical Supplies
220000042
CA
332BN1400X
Nursing Facility Supplies (DME)
220000042
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
220000042
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR18193G
—
CA
Enumeration date
08/16/2005
Last updated
02/13/2014
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