Organization
J3TFZ, INC.
Active
Other names
Tampico Terrace Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN RIVERA (EXECUTIVE DIRECTOR)
(925) 949-3189
Entity
Organization
Contact information
Practice address
130 TAMPICO, WALNUT CREEK, CA 94598-2948
(925) 933-7970
(925) 256-1676
Mailing address
130 TAMPICO, WALNUT CREEK, CA 94598-2948
(925) 933-7970
(925) 256-1676
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056213
MEDICARE PTAN
CA
Enumeration date
06/20/2010
Last updated
12/03/2015
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