Organization
PICO RIVERA HEALTHCARE LLC
Active
Other names
Pico Rivera Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
IRA DAVID FRIEDMAN (MANAGER)
(213) 389-6900
Entity
Organization
Contact information
Practice address
9140 VERNER ST, PICO RIVERA, CA 90660-2741
(562) 948-1961
(562) 949-5998
Mailing address
4032 WILSHIRE BLVD FL6, LOS ANGELES, CA 90010-3425
(213) 389-6900
(562) 949-5998
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000281
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528148020
—
CA
Enumeration date
10/17/2006
Last updated
09/29/2023
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