# TEMPLE CITY CONVALESCENT HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Temple City Convalescent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447525191
- **Authorized official:** ISRAEL BASTOMSKI (PRESIDENT/CEO)
- **Authorized official phone:** (323) 397-6512

## Contact information

- **Practice address:** 5101 TYLER AVE, TEMPLE CITY, CA 91780-3682
- **Practice address phone:** (626) 443-3028
- **Practice address fax:** (626) 443-1988
- **Mailing address:** 5101 TYLER AVE, TEMPLE CITY, CA 91780-3682
- **Mailing address phone:** (626) 443-3028
- **Mailing address fax:** (626) 443-1988

## Taxonomy

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

## Other

- **Enumeration date:** 03/14/2012
- **Last updated:** 03/14/2012