# RUBINS BRIERWOOD TERRACE CONV HOSP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brierwood Terrace Conv Hosp
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922246222
- **Authorized official:** MS. VICKI P ROLLINS RN (COMPLIANCE OFFICER)
- **Authorized official phone:** (310) 652-3030

## Contact information

- **Practice address:** 1480 S LA CIENEGA BLVD, LOS ANGELES, CA 90035-3715
- **Practice address phone:** (310) 652-3030
- **Practice address fax:** (310) 652-0329
- **Mailing address:** 1480 S LA CIENEGA BLVD, LOS ANGELES, CA 90035-3715
- **Mailing address phone:** (310) 652-3030
- **Mailing address fax:** (310) 652-0329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 970000019 | CA | Yes |

## Other

- **Enumeration date:** 01/26/2009
- **Last updated:** 01/26/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT18406G | — | CA |