Organization
VISTA COVE AT SAN GABRIEL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BONAPARTE H LIU (TREASURER)
(949) 205-4060
Entity
Organization
Contact information
Practice address
901 W SANTA ANITA ST, SAN GABRIEL, CA 91776-1018
(626) 289-8889
(626) 289-1461
Mailing address
5 SAN JOAQUIN PLZ STE 350, NEWPORT BEACH, CA 92660-5969
(949) 205-4052
(949) 205-4053
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197606796
CA
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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