# SGV HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LIVE OAK REHABILITATION CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194805630
- **Authorized official:** DAVID FRIEDMAN (PRESIDENT)
- **Authorized official phone:** (213) 389-6900

## Contact information

- **Practice address:** 537 W LIVE OAK ST, SAN GABRIEL, CA 91776-1149
- **Practice address phone:** (626) 289-3763
- **Practice address fax:** (626) 289-2302
- **Mailing address:** 4032 WILSHIRE BLVD FL 6, LOS ANGELES, CA 90010-3425
- **Mailing address phone:** (213) 389-6900
- **Mailing address fax:** (213) 368-8560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 950000027 | CA | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 04/25/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT06127H | — | CA |