Organization
MARKSHERM, INC
Active
Other names
CRESCENT BAY CONVALESCENT HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BAHADOOR MIKHAK (LLC MANAGING MEMBER)
(310) 394-3726
Entity
Organization
Contact information
Practice address
1437 14TH ST, SANTA MONICA, CA 90404-2703
(310) 394-3726
Mailing address
1437 14TH ST, SANTA MONICA, CA 90404-2703
(310) 394-3726
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05053H
—
CA
Enumeration date
01/23/2007
Last updated
08/22/2020
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