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Organization
1338 20TH STREET LLC
Active
Organization
1338 20TH STREET LLC
Active
Other names
Santa Monica Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
EZEQUIEL BERCOVICH (MANAGER)
(213) 948-0193
Entity
Organization
Contact information
Practice address
1338 20TH ST, SANTA MONICA, CA 90404-2034
(310) 255-2800
Mailing address
12642 HATTERAS ST, VALLEY VILLAGE, CA 91607-1525
(213) 948-0193
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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