Peninsula Convalescent Associates Llc

NPI 1386732006

Information of Peninsula Convalescent Associates Llc

The NPI 1386732006 is an Organization type. NPI No 1386732006 belongs to Peninsula Convalescent Associates Llc. Peninsula Convalescent Associates Llc specializes in Skilled Nursing Facility. is practising at 2140 Carlmont Dr, Belmont, California 94002. You can also contact him via phone number (650) 591-9601.

Practice address located

  • 2140 Carlmont Dr
  • Belmont, California 94002
  • (650) 591-9601
  • (650) 591-9601

Mailling address located

  • 2140 Carlmont Dr
  • Belmont, California 94002
  • (650) 591-9601
  • (650) 591-2446
Peninsula Convalescent Associates Llc is PECOS enrolled.
NPI No 1386732006
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes314000000XSkilled Nursing Facility220000004California
Identifier for this provider
StateIdentifierTypeIssuer
CA555657Medicare ID-Type UnspecifiedMEDICARE PROVIDER NO.
CALTC55657GMedicaidn/a
Similar NPIs No