CC
CALIFORNIA CONVALESCENT CENTER 1 INC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
LOS ANGELES, CA
Licensed since
2011
Rate
—
Federal identifiers
NPI registry number1164728143
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameEVELYN BONIFACIO
TitleCORPORATE SECRETARY
Phone2133857301
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Source: NPI Registry · Last refreshed June 24, 2026