Organization
WYNGATE NURSING CENTER
Active
Other names
North Valley Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A MORTENSEN (SR VP FINANCE)
(714) 577-3880
Entity
Organization
Contact information
Practice address
7660 WYNGATE ST, TUJUNGA, CA 91042-1736
(818) 352-1454
(818) 951-4250
Mailing address
3050 SATURN STREET, SUITE #201, BREA, CA 92821-6278
(714) 577-3880
(714) 577-3895
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05146K
—
CA
Enumeration date
09/16/2006
Last updated
01/03/2008
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