San Marino Manor

LBN: Coordinated Care Center Inc.
San Marino Manor is an health care organization with primary practice located at 6812 Oak Ave , San Gabriel CA 91775-2030. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Coordinated Care Center Inc. can be contacted via phone (626) 446-5263, or through Cablayan, Kevin Erwin via phone (619) 521-9641.

Contact Information

Primary practice address
6812 Oak Ave San Gabriel CA 91775-2030
Phone: (626) 446-5263
Fax: (626) 446-8109
Website:
Map and Directions
Authorized official contact:
Name: Cablayan, Kevin Erwin
Phone: (619) 521-9641

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 9500092 California

Profile Details

NPI number 1881745487
LBN Legal business name Coordinated Care Center Inc.
DBA Doing business as San Marino Manor
Authorized official Cablayan, Kevin Erwin
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881745487 NPPES
California MEDICAID ZZT18606G

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