Organization
SGV HEALTHCARE INC
Active
Other names
LIVE OAK REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FRIEDMAN (PRESIDENT)
(213) 389-6900
Entity
Organization
Contact information
Practice address
537 W LIVE OAK ST, SAN GABRIEL, CA 91776-1149
(626) 289-3763
(626) 289-2302
Mailing address
4032 WILSHIRE BLVD FL 6, LOS ANGELES, CA 90010-3425
(213) 389-6900
(213) 368-8560
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
950000027
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT06127H
—
CA
Enumeration date
10/17/2006
Last updated
04/25/2018
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