Healthcare Provider Details

I. General information

NPI: 1134528904
Provider Name (Legal Business Name): LOS ANGELES REHABILITATION & WELLNESS CENTRE, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2014
Last Update Date: 03/04/2024
Certification Date: 03/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 S ALVARADO ST
LOS ANGELES CA
90057-2915
US

IV. Provider business mailing address

400 EXCHANGE STE 140
IRVINE CA
92602-1343
US

V. Phone/Fax

Practice location:
  • Phone: 213-484-9730
  • Fax: 213-484-9507
Mailing address:
  • Phone: 714-673-6899
  • Fax: 714-673-6896

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