MEDICARE: NORTH PALMS REHABILITATION & WELLNESS CENTRE, LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1316346802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH PALMS REHABILITATION & WELLNESS CENTRE, LP

Provider Business Mailing Address
First Line	:	400 EXCHANGE STE 140
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92602-1343
Country	:	US
Telephone Number	:	714-673-6899
Fax Number	:	714-673-6896

Provider Business Practice Location Address
First Line	:	3233 W PICO BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-3640
Country	:	US
Telephone Number	:	323-734-9122
Fax Number	:	323-734-1427

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. SHLOMO RECHNITZ
Credential	:
Telephone Number	:	626-800-1191

Provider Enumeration Date	:	08/20/2014
Last Update Date	:	03/04/2024

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