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Organization
BV GENERAL, INC.
Active
Organization
BV GENERAL, INC.
Active
Other names
Buena Ventura Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD KEH (MEMBER)
(818) 247-6200
Entity
Organization
Contact information
Practice address
1016 S RECORD AVE, LOS ANGELES, CA 90023-2533
(323) 268-0106
(323) 268-2010
Mailing address
1506 S GLENDALE AVE, GLENDALE, CA 91205-3316
(818) 247-6200
(818) 247-7129
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0676352
CLIA ID NUMBER
CA
05
—
LTC05697F
—
CA
Enumeration date
06/22/2005
Last updated
04/11/2016
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