Organization
GOLDEN AGE CONVALESCENT HOSPITAL, INC
Active
Other names
Golden Age Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ESTERLITA CORTES TAPANG (PRESIDENT)
(408) 761-7000
Entity
Organization
Contact information
Practice address
523 BURLINGAME AVE, CAPITOLA, CA 95010-3307
(831) 475-0722
(831) 475-1048
Mailing address
523 BURLINGAME AVE, CAPITOLA, CA 95010-3307
(831) 475-0722
(831) 475-1048
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR18415K
—
CA
Enumeration date
02/05/2007
Last updated
08/22/2020
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