Healthcare Provider Details

I. General information

NPI: 1154718773
Provider Name (Legal Business Name): ORINDA CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2015
Last Update Date: 07/26/2022
Certification Date: 07/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 ALTARINDA RD
ORINDA CA
94563-2602
US

IV. Provider business mailing address

11 ALTARINDA RD
ORINDA CA
94563-2602
US

V. Phone/Fax

Practice location:
  • Phone: 925-254-6500
  • Fax: 925-302-8055
Mailing address:
  • Phone: 925-254-6500
  • Fax: 925-302-8055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number140000131
License Number StateCA

VIII. Authorized Official

Name: CRYSTAL SOLORZANO
Title or Position: CEO
Credential:
Phone: 323-836-9397