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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