| NPI | 1851344220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA CASTANEDA Chief Deputy Director 916-654-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: CA 10000089) |
| Additional Taxonomies | 282E00000X Long Term Care Hospital |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA 10000089) | |
| 314000000X Skilled Nursing Facility (Licence: CA 10000089) | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: CA 10000089) | |
| 333600000X Pharmacy (Licence: CA 10000089) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA HPE19573) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2022-01-24 |