Organization
WESTWOOD HEALTHCARE CENTER, LLC
Active
Other names
Country Villa Westwood Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN REISSMAN (CEO)
(310) 574-3733
Entity
Organization
Contact information
Practice address
12121 SANTA MONICA BLVD, LOS ANGELES, CA 90025-2515
(310) 826-0821
(310) 826-2768
Mailing address
12121 SANTA MONICA BLVD, LOS ANGELES, CA 90025-2515
(310) 826-0821
(310) 826-2768
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
910000123
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05060H
—
CA
Enumeration date
02/28/2013
Last updated
02/28/2013
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