Organization
EL MONTE CONVALESCENT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE TELLES (ADMINISTRATOR)
(626) 442-1500
Entity
Organization
Contact information
Practice address
4096 EASY ST., EL MONTE, CA 91731-1094
(626) 442-1500
(626) 228-0193
Mailing address
4096 EASY ST., EL MONTE, CA 91731-1094
(626) 442-1500
(626) 228-0193
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05202G
—
CA
Enumeration date
05/31/2005
Last updated
01/30/2008
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