# 14857 ROSCOE BLVD CORPORATION

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

## Provider details

- **NPI number:** 1588651194
- **Authorized official:** ROSALIE PIACENTI SANCHEZ (MANAGER)
- **Authorized official phone:** (562) 930-0777

## Contact information

- **Practice address:** 14857 ROSCOE BLVD, PANORAMA CITY, CA 91402-4617
- **Practice address phone:** (818) 894-5707
- **Practice address fax:** (818) 894-8151
- **Mailing address:** 4115 E BROADWAY, LONG BEACH, CA 90803-1532
- **Mailing address phone:** (562) 930-0777
- **Mailing address fax:** (562) 930-0728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 920000072 | CA | Yes |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 12/08/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT06137G | — | CA |