Golden Pavilion Operations Llc

NPI Registration Record

Provider / Organization	NPI	Date Certified
GOLDEN PAVILION OPERATIONS LLC	1447825054	2023-07-31

The organization Golden Pavilion Operations Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1447825054. Registration indicates Golden Pavilion Operations Llc is a provider of access to skilled nursing facilities services with a specialization in Nursing & Custodial Care Facilities, Skilled Nursing Facility (Nursing & Custodial Care Facilities, Skilled Nursing Facility) (Skilled Nursing Facility, ) (All Other Specialties & Provider Types, ) (Skilled Nursing Facility, Nursing & Custodial Care Facilities)

Other Names:

• Golden Pavilion Healthcare

Entity Type	Organization
Provider Organization	GOLDEN PAVILION OPERATIONS LLC
Other Provider Organization	GOLDEN PAVILION HEALTHCARE
Practice Office Address	99 ESCUELA DR DALY CITY, CA US
Practice Office Telephone	6509943200
Practice Office Fax	6509945320
Mailing Address	99 ESCUELA DR DALY CITY, CA 940154003 US
Business Telephone	6509943200
Business Fax	6509945320
Authorized Official	YITZCHOK YENOWITZ, AUTHORIZED MEMB 6509943200

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