Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Country Villa Imperial LLC

Organization Skilled Nursing Facility · NPI 1083608293

Country Villa Imperial LLC is a Skilled Nursing Facility in Los Angeles, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3002 Rowena Ave
Los Angeles, CA 90039-2005
Phone: (323) 666-1544
Fax: (323) 666-9584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 970000041 (CA)

Record details

NPI number1083608293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Reissman — Trustee Of Managing Member · (310) 574-3733
Other names Country Villa Los Feliz Healthcare Center
NPI enumeratedSeptember 1, 2005
Last updated in NPPESJanuary 29, 2014
Mailing address5120 W Goldleaf Cir, Suite 400, Los Angeles, CA 90056-1292

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