Organization
GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOAN LEE (PRESIDENT)
(323) 934-5660
Entity
Organization
Contact information
Practice address
1131 ARIZONA AVE, SANTA MONICA, CA 90401-2009
(310) 451-4800
(310) 458-3156
Mailing address
1101 CRENSHAW BLVD, LOS ANGELES, CA 90019-3112
(323) 934-5660
(323) 934-0852
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
910000056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05171H
—
CA
Enumeration date
11/16/2006
Last updated
12/30/2024
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