Organization
MASONIC HOMES OF CALIFORNIA
Active
Parent organization
MASONIC HOMES OF CALIFORNIA
Other names
Citrus Heights Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MASONIC HOMES OF CALIFORNIA
Authorized official
VINCENT L GONZAGA (SKILLED NURSING ADMINISTRATOR)
(626) 251-2230
Entity
Organization
Contact information
Practice address
161 S REEDER AVE, COVINA, CA 91724-3129
(626) 251-2316
Mailing address
1650 E OLD BADILLO ST, COVINA, CA 91724-3163
(626) 251-2316
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
10/17/2023
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