Organization
STUDIO CITY CONVALESCENT HOSPITAL LLC
Active
Other names
Studio City Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
IRA DAVID FRIEDMAN (MANAGER)
(213) 389-6900
Entity
Organization
Contact information
Practice address
11429 VENTURA BLVD., STUDIO CITY, CA 91604-3143
(818) 766-9551
(818) 766-1618
Mailing address
4032 WILSHIRE BLVD FL6, LOS ANGELES, CA 90010-3425
(213) 389-6900
(818) 766-1618
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
920000071
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55686F
—
CA
Enumeration date
11/14/2006
Last updated
09/29/2023
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