Organization
GREENFIELD CARE CENTER OF GARDENA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENQ HORNG CHEN (PRESIDENT)
(310) 889-9929
Entity
Organization
Contact information
Practice address
16530 S BROADWAY ST, GARDENA, CA 90248-2714
(310) 329-9929
(310) 329-1024
Mailing address
1937 PONTIUS AVE, LOS ANGELES, CA 90025-5611
(310) 889-9929
(310) 889-9939
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
910000007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629241120
—
CA
Enumeration date
04/07/2008
Last updated
01/19/2017
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