# OCEAN PARK HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ocean Park Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376128322
- **Authorized official:** CHONOCH GEWIRTZ (MEMBER)
- **Authorized official phone:** (917) 842-8361

## Contact information

- **Practice address:** 2828 PICO BLVD, SANTA MONICA, CA 90405-1920
- **Practice address phone:** (310) 450-7694
- **Mailing address:** 2828 PICO BLVD, SANTA MONICA, CA 90405-1920

## Taxonomy

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

## Other

- **Enumeration date:** 03/11/2021
- **Last updated:** 03/11/2021
