# PRIME HEALTHCARE SERVICES - SHERMAN OAKS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sherman Oaks Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396031639
- **Authorized official:** CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
- **Authorized official phone:** (310) 259-4706

## Contact information

- **Practice address:** 4929 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1702
- **Practice address phone:** (818) 907-4540
- **Practice address fax:** (818) 907-2829
- **Mailing address:** 3300 E GUASTI RD, 3RD FLOOR, ONTARIO, CA 91761-8655
- **Mailing address phone:** (909) 235-4400
- **Mailing address fax:** (909) 235-4419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 930000149 | CA | Yes |
| 314000000X | Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 06/24/2011
- **Last updated:** 04/05/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | HSC301141 | — | CA |
| 05 | — | HSC30114I | — | CA |