MEDICARE: B-EAST, LLC

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	090000110	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518974542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B-EAST, LLC

Provider Business Mailing Address
First Line	:	8625 LAMAR ST
Second Line	:
City	:	SPRING VALLEY
State	:	CA
Zip	:	91977-2518
Country	:	US
Telephone Number	:	619-461-3222
Fax Number	:	619-461-3575

Provider Business Practice Location Address
First Line	:	8625 LAMAR ST
Second Line	:
City	:	SPRING VALLEY
State	:	CA
Zip	:	91977-2518
Country	:	US
Telephone Number	:	619-461-3222
Fax Number	:	619-461-3575

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

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	12/06/2021

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Directions to “B-EAST, LLC ” Practice Location

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