# GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114090206
- **Authorized official:** MS. JOAN LEE (PRESIDENT)
- **Authorized official phone:** (323) 934-5660

## Contact information

- **Practice address:** 1131 ARIZONA AVE, SANTA MONICA, CA 90401-2009
- **Practice address phone:** (310) 451-4800
- **Practice address fax:** (310) 458-3156
- **Mailing address:** 1101 CRENSHAW BLVD, LOS ANGELES, CA 90019-3112
- **Mailing address phone:** (323) 934-5660
- **Mailing address fax:** (323) 934-0852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 910000056 | CA | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 12/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05171H | — | CA |