Healthcare Provider Details

I. General information

NPI: 1942605456
Provider Name (Legal Business Name): REHABILITATION CENTER OF SANTA MONICA OPERATING COMPANY, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2014
Last Update Date: 10/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1338 20TH ST
SANTA MONICA CA
90404-2034
US

IV. Provider business mailing address

1338 20TH ST
SANTA MONICA CA
90404-2034
US

V. Phone/Fax

Practice location:
  • Phone: 310-255-2800
  • Fax: 310-255-3576
Mailing address:
  • Phone: 310-255-2800
  • Fax: 310-255-3576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number910000154
License Number StateCA

VIII. Authorized Official

Name: MRS. ANDREA SAAVEDRA
Title or Position: REGIONAL FINANCIAL ANALYST
Credential:
Phone: 707-208-1940