# WEST GARDENA CARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Gardena Post Acute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407499163
- **Authorized official:** CHONOCH GEWIRTZ (OWNER)
- **Authorized official phone:** (310) 329-9929

## Contact information

- **Practice address:** 16530 S BROADWAY, GARDENA, CA 90248-2714
- **Practice address phone:** (917) 842-8361
- **Mailing address:** 6442 COLDWATER CANYON AVE STE 100, NORTH HOLLYWOOD, CA 91606-1191
- **Mailing address phone:** (310) 329-9929

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2019
- **Last updated:** 10/06/2020