# ARIZONA & 21ST CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BERKLEY EAST CONV HOSP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003804212
- **Authorized official:** MR. STEVEN GALPER (VICE PRESIDENT)
- **Authorized official phone:** (310) 829-5377

## Contact information

- **Practice address:** 2021 ARIZONA AVE, SANTA MONICA, CA 90404-1335
- **Practice address phone:** (310) 829-5377
- **Practice address fax:** (310) 829-5378
- **Mailing address:** 2021 ARIZONA AVE, SANTA MONICA, CA 90404-1335
- **Mailing address phone:** (310) 829-5377
- **Mailing address fax:** (310) 829-5378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 910000013 | CA | Yes |

## Other

- **Enumeration date:** 10/11/2005
- **Last updated:** 10/22/2013