Provider Demographics
NPI:1700760188
Name:PLAYA DE ORO CARE INC
Entity type:Organization
Organization Name:PLAYA DE ORO CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:K
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-396-7487
Mailing Address - Street 1:PO BOX 2303
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-0303
Mailing Address - Country:US
Mailing Address - Phone:562-396-7487
Mailing Address - Fax:562-381-0493
Practice Address - Street 1:12565 DOWNEY AVE
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-3710
Practice Address - Country:US
Practice Address - Phone:562-861-6694
Practice Address - Fax:562-381-0493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility