Organization
3230 CARLSON BLVD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MARTIN (MANAGER)
(510) 525-3212
Entity
Organization
Contact information
Practice address
3230 CARLSON BLVD, EL CERRITO, CA 94530-3907
(510) 525-3212
Mailing address
2305 HISTORIC DECATUR RD STE 100, SAN DIEGO, CA 92106-6071
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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