Organization
RANCHO SAN ANTONIO RETIREMENT SERVICES, INC.
Active
Other names
Health Care Center at The Forum at Rancho San Antonio
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN B GENDZEL M.D. (PRESIDENT)
(650) 988-9300
Entity
Organization
Contact information
Practice address
23600 VIA ESPLENDOR, CUPERTINO, CA 95014-6571
(650) 944-0200
(650) 903-5920
Mailing address
23600 VIA ESPLENDOR, CUPERTINO, CA 95014-6571
(650) 944-0200
(650) 903-5920
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
220000444
CA
Other
Enumeration date
05/18/2006
Last updated
11/09/2016
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