# 13333 FENTON AVE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MOUNTAIN VIEW CONVALESCENT HOSPITAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184619827
- **Authorized official:** BETSY WAFA (DIRECTOR OF PATIENT ACCOUNTING)
- **Authorized official phone:** (714) 533-7818

## Contact information

- **Practice address:** 13333 FENTON AVE, SYLMAR, CA 91342-3113
- **Practice address phone:** (818) 367-1033
- **Practice address fax:** (818) 367-1394
- **Mailing address:** 13333 FENTON AVE, SYLMAR, CA 91342-3113
- **Mailing address phone:** (818) 367-1033
- **Mailing address fax:** (818) 367-1394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 09/19/2005
- **Last updated:** 01/20/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC70167F | — | CA |
| 05 | — | ZZT05863I | — | CA |