OrganizationActive
Ag San Gabriel, LLC
NPI 1477547024 · Skilled Nursing Facility · San Gabriel, CA
Provider details
- NPI number
- 1477547024
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Jacob Wintner, Manager
- License
- 950000016 (CA)
Practice location
112 East Broadway
San Gabriel, CA 91776
Phone: (626) 285-2165
Fax: (626) 287-4061
Mailing address
112 East Broadway
San Gabriel, CA 91776
Registry dates
- Enumerated
- 2005-09-08
- Last updated
- 2014-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.