Organization
SAN GABRIEL CONVALESCENT CENTER LLC
Active
Other names
San Gabriel Convalescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
IRA DAVID FRIEDMAN (MANAGER)
(213) 389-6900
Entity
Organization
Contact information
Practice address
8035 HILL DR, ROSEMEAD, CA 91770-4116
(626) 280-4820
(626) 280-0227
Mailing address
4032 WILSHIRE BLVD 6FL, LOS ANGELES, CA 90010-3425
(213) 389-6900
(626) 280-0227
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
950000091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC05181H
—
CA
Enumeration date
10/24/2006
Last updated
09/29/2023
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