Healthcare Provider Details

I. General information

NPI: 1427045269
Provider Name (Legal Business Name): DANIEL C. ZILAFRO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 05/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5043 PECK RD
EL MONTE CA
91732-1423
US

IV. Provider business mailing address

12023 LAKEWOOD BLVD
DOWNEY CA
90242-2635
US

V. Phone/Fax

Practice location:
  • Phone: 626-579-1602
  • Fax: 626-579-6064
Mailing address:
  • Phone: 562-869-0978
  • Fax: 562-869-7878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number950000119
License Number StateCA

VIII. Authorized Official

Name: MRS. LAURA P. MARTINEZ
Title or Position: BUS. OFFICE MANAGER
Credential:
Phone: 562-869-0978