Healthcare Provider Details

I. General information

NPI: 1215338736
Provider Name (Legal Business Name): PAR OPERATIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2014
Last Update Date: 12/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1570 N FAIR OAKS AVE
PASADENA CA
91103-1822
US

IV. Provider business mailing address

1307 DANA PL
FULLERTON CA
92831-1108
US

V. Phone/Fax

Practice location:
  • Phone: 562-925-2274
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: ARLENE ROSALES
Title or Position: PRESIDENT
Credential:
Phone: 562-925-2274