Healthcare Provider Details

I. General information

NPI: 1831294974
Provider Name (Legal Business Name): MONTEREY CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1267 SAN GABRIEL BLVD
ROSEMEAD CA
91770-4237
US

IV. Provider business mailing address

1267 SAN GABRIEL BLVD
ROSEMEAD CA
91770-4237
US

V. Phone/Fax

Practice location:
  • Phone: 626-280-3220
  • Fax: 626-280-1896
Mailing address:
  • Phone: 626-280-3220
  • Fax: 626-280-1896

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: MRS. DIANNE LYNN DOWNEY
Title or Position: OFFICE MANAGER
Credential:
Phone: 626-280-3220