# EL MONTE CONVALESCENT HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972506327
- **Authorized official:** MR. JESSE TELLES (ADMINISTRATOR)
- **Authorized official phone:** (626) 442-1500

## Contact information

- **Practice address:** 4096 EASY ST., EL MONTE, CA 91731-1094
- **Practice address phone:** (626) 442-1500
- **Practice address fax:** (626) 228-0193
- **Mailing address:** 4096 EASY ST., EL MONTE, CA 91731-1094
- **Mailing address phone:** (626) 442-1500
- **Mailing address fax:** (626) 228-0193

## Taxonomy

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

## Other

- **Enumeration date:** 05/31/2005
- **Last updated:** 01/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05202G | — | CA |