Organization
IMPERIAL CREST HEALTHCARE CENTER, LLC
Active
Other names
Imperial Crest Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID FRIEDMAN (MANAGING MEMBER)
(213) 389-6900
Entity
Organization
Contact information
Practice address
11834 INGLEWOOD AVE, HAWTHORNE, CA 90250-0107
(310) 679-1461
(310) 679-2511
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
910000054
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55719F
—
CA
Enumeration date
10/04/2006
Last updated
06/22/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us