Organization
TRINITY OAKLAND, INC
Active
Other names
Pomona Vista Alzheimers Center
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL KLEIS (PRESIDENT)
(425) 820-9750
Entity
Organization
Contact information
Practice address
651 N MAIN ST, POMONA, CA 91768-3110
(909) 623-2481
(909) 865-0060
Mailing address
651 N MAIN ST, POMONA, CA 91768-3110
(909) 623-2481
(909) 865-0060
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05282J
—
CA
Enumeration date
10/05/2006
Last updated
08/21/2007
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