Organization
HUMANGOOD NORCAL
Active
Other names
Terraces of Los Gatos
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN VANGELISTO (DIRECTOR OF ACCOUNTS RECEIVABLE)
(949) 463-0893
Entity
Organization
Contact information
Practice address
800 BLOSSOM HILL RD, LOS GATOS, CA 95032
(408) 356-1006
(408) 356-9647
Mailing address
1900 HUNTINGTON DR, DUARTE, CA 91010-2694
(818) 247-0420
(949) 528-2434
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
070000326
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55547F
—
CA
Enumeration date
12/07/2005
Last updated
06/02/2025
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