Organization
HYDE PARK REHABILITATION CENTER LLC
Active
Other names
Hyde Park Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ROBERTS (OWNER)
(909) 230-1455
Entity
Organization
Contact information
Practice address
6520 WEST BLVD, LOS ANGELES, CA 90043-4311
(323) 753-1354
(323) 210-3790
Mailing address
6520 WEST BLVD, LOS ANGELES, CA 90043-4311
(909) 230-1455
(323) 210-3790
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
910000066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05326G
—
CA
Enumeration date
08/23/2016
Last updated
02/11/2025
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