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CULVER WEST CONVALESCENT HOSPITAL

Skilled Nursing Facility

Los Angeles, California

Provider NPI: 1083603880

Organization Information:
Organization Name:  CULVER WEST CONVALESCENT HOSPITAL


Practice Location:
4035 GRAND VIEW BLVD  LOS ANGELES, CA 90066 US
Tel: 310-390-9506  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
CA910000038

Other Provider Identifiers:

IssuerNumberStateType
055350CA06
0690140001CA07
ZZT05350GCA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin





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