# BURLINGTON CONVALESCENT HOSPITAL LLC

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

## Provider details

- **NPI number:** 1407934946
- **Authorized official:** IRA DAVID FRIEDMAN (MANAGER)
- **Authorized official phone:** (213) 389-6900

## Contact information

- **Practice address:** 845 S BURLINGTON AVE, LOS ANGELES, CA 90057-4207
- **Practice address phone:** (213) 381-5585
- **Practice address fax:** (213) 381-1291
- **Mailing address:** 4032 WILSHIRE BLVD FL 6, LOS ANGELES, CA 90010-3425
- **Mailing address phone:** (213) 389-6900
- **Mailing address fax:** (213) 384-1710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 970000063 | CA | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 09/29/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05666H | — | CA |