# VERNON CONVALESCENT HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336184266
- **Authorized official:** MR. JACK MARKOVITZ (PRESIDENT/OWNER)
- **Authorized official phone:** (562) 761-7365

## Contact information

- **Practice address:** 1037 W VERNON AVE, LOS ANGELES, CA 90037-2415
- **Practice address phone:** (323) 232-4895
- **Practice address fax:** (323) 232-3096
- **Mailing address:** 1037 W VERNON AVE, LOS ANGELES, CA 90037-2415
- **Mailing address phone:** (323) 232-4895
- **Mailing address fax:** (323) 232-3096

## Taxonomy

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

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05167G | — | CA |