Penn Mar Therapeutic Center

LBN: San Gabriel Valley Convalescent Hospital, Inc.
Penn Mar Therapeutic Center is an health care organization with primary practice located at 3938 Cogswell Rd , El Monte CA 91732-2404. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. San Gabriel Valley Convalescent Hospital, Inc. can be contacted via phone (626) 401-1557, or through Dimla, Dori via phone (626) 401-1557.

Contact Information

Primary practice address
3938 Cogswell Rd El Monte CA 91732-2404
Fax:
Website:
Authorized official contact:
Name: Dimla, Dori

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 05A360 California

Profile Details

NPI number 1891781423
LBN Legal business name San Gabriel Valley Convalescent Hospital, Inc.
DBA Doing business as Penn Mar Therapeutic Center
Authorized official Dimla, Dori
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891781423 NPPES
California MEDICAID LTC 10040F

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