Organization
MARLINDA IMPERIAL, LLC
Active
Other names
Marlinda Imperial Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA GASSOUMIS (CFO)
(310) 638-6691
Entity
Organization
Contact information
Practice address
150 BELLEFONTAINE ST, PASADENA, CA 91105-3102
(626) 796-1103
Mailing address
150 BELLEFONTAINE ST, PASADENA, CA 91105-3102
(626) 796-1103
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT06080G
—
CA
Enumeration date
11/15/2006
Last updated
08/22/2020
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