Healthcare Provider Details

I. General information

NPI: 1922246222
Provider Name (Legal Business Name): RUBINS BRIERWOOD TERRACE CONV HOSP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2009
Last Update Date: 01/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1480 S LA CIENEGA BLVD
LOS ANGELES CA
90035-3715
US

IV. Provider business mailing address

1480 S LA CIENEGA BLVD
LOS ANGELES CA
90035-3715
US

V. Phone/Fax

Practice location:
  • Phone: 310-652-3030
  • Fax: 310-652-0329
Mailing address:
  • Phone: 310-652-3030
  • Fax: 310-652-0329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number970000019
License Number StateCA

VIII. Authorized Official

Name: MS. VICKI P ROLLINS
Title or Position: COMPLIANCE OFFICER
Credential: RN
Phone: 310-652-3030