Icc Convalescent LLC
NPI #1265502405 in Studio City, California
Provider Information
- NPI Number
- 1265502405
- Entity Type
- Organization
- Organization Name
- Icc Convalescent LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 8, 2006
- Last Updated
- Sep 29, 2023
Practice Location
- Address
- 11441 VENTURA BLVD
- City
- Studio City
- State
- California
- ZIP Code
- 91604-3143
- Phone
- (818) 980-8200
Authorized Official
- Name
- IRA DAVID FRIEDMAN
- Title
- MANAGER
- Phone
- (213) 389-6900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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