MEDICARE: OAKVIEW CONVALESCENT HOSP., INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	9200000052	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265431738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAKVIEW CONVALESCENT HOSP., INC

Provider Business Mailing Address
First Line	:	9166 TUJUNGA CANYON BLVD
Second Line	:
City	:	TUJUNGA
State	:	CA
Zip	:	91042-3462
Country	:	US
Telephone Number	:	818-352-4426
Fax Number	:	818-951-5797

Provider Business Practice Location Address
First Line	:	9166 TUJUNGA CANYON BLVD
Second Line	:
City	:	TUJUNGA
State	:	CA
Zip	:	91042-3462
Country	:	US
Telephone Number	:	818-352-4426
Fax Number	:	818-951-5797

Authorized Official
Title or Position	:	CEO
Name	:	MR. BEN H GARRETT JR.
Credential	:
Telephone Number	:	626-828-8431

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	08/22/2020

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Directions to “OAKVIEW CONVALESCENT HOSP., INC ” Practice Location

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