Healthcare Provider Details

I. General information

NPI: 1508266396
Provider Name (Legal Business Name): WEST PICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2014
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6070 W PICO BLVD
LOS ANGELES CA
90035-2647
US

IV. Provider business mailing address

6070 W PICO BLVD
LOS ANGELES CA
90035-2647
US

V. Phone/Fax

Practice location:
  • Phone: 323-653-3980
  • Fax:
Mailing address:
  • Phone: 323-653-3980
  • Fax:

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: MANAGING MEMBER
Credential:
Phone: 626-800-1191