Provider Demographics
NPI:1427045269
Name:DANIEL C. ZILAFRO
Entity Type:Organization
Organization Name:DANIEL C. ZILAFRO
Other - Org Name:EL MONTE CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUS. OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:P
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-869-0978
Mailing Address - Street 1:12023 LAKEWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-2635
Mailing Address - Country:US
Mailing Address - Phone:562-869-0978
Mailing Address - Fax:562-869-7878
Practice Address - Street 1:5043 PECK RD
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91732-1423
Practice Address - Country:US
Practice Address - Phone:626-579-1602
Practice Address - Fax:626-579-6064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA950000119314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALTC55374FMedicaid
CA0741570001Medicare NSC
CALTC55374FMedicaid
CA1427045269Medicare NSC