Healthcare Provider Details

I. General information

NPI: 1356569537
Provider Name (Legal Business Name): ROYALE HEALTH CARE CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 W WARNER AVE
SANTA ANA CA
92707-3147
US

IV. Provider business mailing address

1030 W WARNER AVE
SANTA ANA CA
92707-3147
US

V. Phone/Fax

Practice location:
  • Phone: 714-546-6450
  • Fax: 714-546-8411
Mailing address:
  • Phone: 714-546-6450
  • Fax: 714-546-8411

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. DONALD PATRICK CONNELLY JR.
Title or Position: VICE PRESIDENT
Credential:
Phone: 714-546-6450