Trinity Oakland, INC
Skilled Nursing Facility in Pomona, CA. Organization (NPI-2).
NPI number1700972791
StatusActive
Last updated in NPPESAug 21, 2007
Details
- NPI
- 1700972791
- Entity type
- Organization (NPI-2)
- Legal business name
- Trinity Oakland, INC
- Organization subpart
- No
- Enumeration date
- Oct 5, 2006
- Last updated
- Aug 21, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 950000085 | CA | Yes |
Other names
- Pomona Vista Alzheimers Center (Doing Business As)
Practice location
651 N Main StPomona, CA 91768-3110
Phone 909-623-2481 · Fax 909-865-0060
Mailing address
651 N Main StPomona, CA 91768-3110
Phone 909-623-2481 · Fax 909-865-0060
Authorized official
Randal Kleis
President
4258209750
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