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Organization
HYDE PARK REHABILITATION CENTER LLC
Active
Organization
HYDE PARK REHABILITATION CENTER LLC
Active
Other names
Hyde Park Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ROBERTS (OWNER)
(909) 230-1455
Entity
Organization
Contact information
Practice address
6520 WEST BLVD, LOS ANGELES, CA 90043-4311
(323) 753-1354
(323) 210-3790
Mailing address
6520 WEST BLVD, LOS ANGELES, CA 90043-4311
(909) 230-1455
(323) 210-3790
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
910000066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05326G
—
CA
Enumeration date
08/23/2016
Last updated
02/11/2025
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