Organization
2210 SANTA ANA OPCO, LLC
Active
Other names
Advanced Rehab Center of Tustin
Organization subpart
No
Provider details
NPI number
Authorized official
MANACHEM MENDEL GASTWIRTH (OWNER)
(818) 915-4900
Entity
Organization
Contact information
Practice address
2210 E 1ST ST, SANTA ANA, CA 92705-3802
(818) 985-6600
Mailing address
11440 VENTURA BLVD, STE 220, STUDIO CITY, CA 91604-3154
(818) 985-6600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT055330J
—
CA
Enumeration date
02/12/2014
Last updated
07/11/2023
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