Healthcare Provider Details

I. General information

NPI: 1295722049
Provider Name (Legal Business Name): ZILACO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5053 PECK RD
EL MONTE CA
91732-1497
US

IV. Provider business mailing address

5053 PECK RD
EL MONTE CA
91732-1497
US

V. Phone/Fax

Practice location:
  • Phone: 626-448-4248
  • Fax: 626-579-6064
Mailing address:
  • Phone: 626-448-4248
  • Fax: 626-579-6064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. DAVID R. ELLIOTT
Title or Position: ADMINISTRATOR
Credential: N.H.A.
Phone: 626-448-4248