Healthcare Provider Details

I. General information

NPI: 1780677088
Provider Name (Legal Business Name): ARCADIA CONVALESCENT HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 05/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 S BALDWIN AVE
ARCADIA CA
91007-7930
US

IV. Provider business mailing address

1601 S BALDWIN AVE
ARCADIA CA
91007-7930
US

V. Phone/Fax

Practice location:
  • Phone: 626-445-2170
  • Fax: 626-445-0338
Mailing address:
  • Phone: 626-445-2170
  • Fax: 626-445-0338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ORLANDO CLARIZIO SR.
Title or Position: PRESIDENT OWNER
Credential:
Phone: 626-445-2170