Golden Life Manor IV

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GOLDEN LIFE MANOR IV

Practice address

2344 W Beaton Way
Orange, CA 92868-1901

Phone

(626) 541-5921

NPI assigned

Feb 6, 2023

Last updated

Feb 6, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacklyn Peng Lee

Title

Licensee

Phone

(626) 541-5921

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1063118537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 W BEATON WAY",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681901",
            "telephone_number": "626-541-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 W BEATON WAY",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681901",
            "telephone_number": "626-541-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN LIFE MANOR IV",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "PENG LEE",
        "authorized_official_first_name": "JACKLYN",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "626-541-5921"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manjiri Gokhale
• Kimberly Kinga Gokoffski, MD, PHD
• Claudia R Gold, MD
• Stephen Michael Gold, D.D.S.
• Timothy Scott Goldberg, PT
• Golden Life Manor IV
• Golden State Transit LLC
• Golden Touch LLC
• Amanda N Goldin, M.D.
• Ann E Goldman, LMFT

• Assisted Living Facility in Orange, CA
• Providers in Orange, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.