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Contact Information

INDUSTRY CONVALESCENT HOSPITAL
555 S. EL ENCANTO RD
CITY OF INDUSTRY, CA91745
 Phone: 626-336-1274
 Fax: 626-330-2789
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for INDUSTRY CONVALESCENT HOSPITAL

NPI Number 1205839081
LBN Legal business name INDUSTRY CONVALESCENT HOSPITAL
Authorized official KENNETH CALVO - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2005
Last updated 01/20/2012 - About 14 years ago
Identifiers
CA License # 960000747
CA Medicaid ZZT18646G
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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