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General NPI Number Information
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NPI Number | 1457225906
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Entity Type | Organization
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Legal Business Name | 7TH AVE CARE CENTER LLC
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 1171 7TH AVE
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City | SANTA CRUZ
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State | CA
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Zip | 95062-2714
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Country | US
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Telephone | 831-476-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 7162 BEVERLY BLVD STE 565
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City | LOS ANGELES
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State | CA
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Zip | 90036-2547
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MORDECHAI WERTHEIMER
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Credential |
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Telephone | 323-484-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number |
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License Number State |
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