Organization
MAGNOLIA GARDENS CONVALESCENT HOSPITAL LLC
Active
Other names
Magnolia Gardens Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
IRA DAVID FRIEDMAN (MANAGER)
(213) 389-6900
Entity
Organization
Contact information
Practice address
17922 SAN FERNANDO MISSION BLVD, GRANADA HILLS, CA 91344-4043
(818) 360-1864
(818) 360-3801
Mailing address
4032 WILSHIRE BLVD FL6, LOS ANGELES, CA 90010-3425
(213) 389-6900
(818) 360-3801
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
920000047
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZTO5142G
—
CA
Enumeration date
10/04/2006
Last updated
09/29/2023
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