Kindred Hospital - San Gabriel Valley

LBN: Southern California Specialty Care, Llc
Kindred Hospital - San Gabriel Valley is an health care organization with primary practice located at 845 N Lark Ellen Ave , West Covina CA 91791. The organization recently has only one registered license in Hospitals / Long Term Care Hospital, which is considered as the primary health care specialty. Southern California Specialty Care, Llc can be contacted via phone (626) 339-5451, or through Teague, Kathy via phone (629) 253-5121.

Contact Information

Primary practice address
845 N Lark Ellen Ave West Covina CA 91791
Fax: (626) 967-3809
Website:
Authorized official contact:
Name: Teague, Kathy

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Long Term Care Hospital 282E00000X 930000084 California

Profile Details

NPI number 1942385224
LBN Legal business name Southern California Specialty Care, Llc
DBA Doing business as Kindred Hospital - San Gabriel Valley
Authorized official Teague, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Mar 11th, 2024 - about last year

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 1942385224 NPPES
California Other 954494848 TRICARE/CHAMPUS
California MEDICAID HSP32028F TRICARE/CHAMPUS
California Other ZZZB1900Z TRICARE/CHAMPUS

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