Organization
13333 FENTON AVE LLC
Active
Other names
MOUNTAIN VIEW CONVALESCENT HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY WAFA (DIRECTOR OF PATIENT ACCOUNTING)
(714) 533-7818
Entity
Organization
Contact information
Practice address
13333 FENTON AVE, SYLMAR, CA 91342-3113
(818) 367-1033
(818) 367-1394
Mailing address
13333 FENTON AVE, SYLMAR, CA 91342-3113
(818) 367-1033
(818) 367-1394
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC70167F
—
CA
05
—
ZZT05863I
—
CA
Enumeration date
09/19/2005
Last updated
01/20/2010
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