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NPI Code Detail

MEDICARE: MONTEREY CARE CENTER, INC.

MEDICARE: MONTEREY CARE CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831294974
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONTEREY CARE CENTER, INC.
Provider Business Mailing Address
First Line : 1267 SAN GABRIEL BLVD
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-4237
Country : US
Telephone Number : 626-280-3220
Fax Number : 626-280-1896
Provider Business Practice Location Address
First Line : 1267 SAN GABRIEL BLVD
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-4237
Country : US
Telephone Number : 626-280-3220
Fax Number : 626-280-1896
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. DIANNE LYNN DOWNEY
Credential :
Telephone Number : 626-280-3220
Provider Enumeration Date : 09/13/2006
Last Update Date : 08/22/2020

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Directions to “MONTEREY CARE CENTER, INC. ” Practice Location

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