Healthcare Provider Details

I. General information

NPI: 1659780096
Provider Name (Legal Business Name): BAY VISTA HEALTHCARE & WELLNESS CENTRE LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2014
Last Update Date: 03/04/2024
Certification Date: 03/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 DOWNEY AVE
LONG BEACH CA
90805-4518
US

IV. Provider business mailing address

3580 WILSHIRE BLVD STE 600
LOS ANGELES CA
90010-2502
US

V. Phone/Fax

Practice location:
  • Phone: 562-634-4693
  • Fax: 562-630-2039
Mailing address:
  • Phone: 323-330-6500
  • Fax: 866-603-3566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. SHLOMO RECHNITZ
Title or Position: MANAGER
Credential:
Phone: 323-800-1191