Organization
SAN BERNARDINO CARE COMPANY
Active
Other names
MEDICAL CENTER CONVALESCENT HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
SOL BERRIENTOS (OWNER)
(909) 884-4781
Entity
Organization
Contact information
Practice address
467 E GILBERT ST, SAN BERNARDINO, CA 92404-5318
(909) 884-4781
Mailing address
1937 PONTIUS AVE, LOS ANGELES, CA 90025-5611
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05149H
—
CA
Enumeration date
10/03/2005
Last updated
08/22/2020
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