Organization
MEK NORWOOD PINES LLC
Active
Other names
Norwood Pines Alzheimers Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNAN PEDRAJA (FINANCIAL CONTROLLER)
(818) 247-6200
Entity
Organization
Contact information
Practice address
500 JESSIE AVENUE, SACRAMENTO, CA 95838-2609
(916) 922-7177
(916) 922-5782
Mailing address
1506 S. GLENDALE AVENUE, GLENDALE, CA 91205
(818) 247-6200
(818) 247-6213
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
030000010
CA
311500000X
Alzheimer Center (Dementia Center)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0988752
CLIA ID NUMBER
CA
05
—
ZZR06045K
—
CA
Enumeration date
06/22/2005
Last updated
04/11/2016
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