Organization
TAG-2 MEDICAL INVESTMENT GROUP LLC
Active
Other names
Sunny Village Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH T SIM M.D. (PRESIDENT)
(626) 943-6298
Entity
Organization
Contact information
Practice address
1516 S MARENGO AVE, ALHAMBRA, CA 91803-3055
(626) 576-1032
Mailing address
1668 S GARFIELD AVE FL 2, ALHAMBRA, CA 91801-5400
(626) 943-6298
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/29/2010
Last updated
12/31/2020
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