Organization
COORDINATED CARE CENTER, INC
Active
Other names
San Marino Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL W. ELBERT (ADMINISTRATOR)
(626) 446-5263
Entity
Organization
Contact information
Practice address
6812 OAK AVE, SAN GABRIEL, CA 91775-2030
(626) 446-5263
(626) 446-8109
Mailing address
6812 OAK AVE, SAN GABRIEL, CA 91775-2030
(626) 446-5263
(626) 446-8109
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT18606F
—
CA
Enumeration date
09/30/2005
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us