MEDICARE: ROYAL GARDEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1982584561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL GARDEN

Provider Business Mailing Address
First Line	:	2961 WARREN LN
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-4221
Country	:	US
Telephone Number	:	916-955-0424
Fax Number	:

Provider Business Practice Location Address
First Line	:	2961 WARREN LN
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-4221
Country	:	US
Telephone Number	:	916-955-0424
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SHIRLEY DIZON
Credential	:
Telephone Number	:	916-955-0424

Provider Enumeration Date	:	09/04/2025
Last Update Date	:	10/27/2025

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Directions to “ROYAL GARDEN ” Practice Location

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