MEDICARE: EAST TERRACE 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	:	1780093393
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST TERRACE REHABILITATION & WELLNESS CENTRE LP

Provider Business Mailing Address
First Line	:	3580 WILSHIRE BLVD STE 600
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-2502
Country	:	US
Telephone Number	:	323-330-6500
Fax Number	:	866-603-3566

Provider Business Practice Location Address
First Line	:	2415 S WESTERN AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90018-2608
Country	:	US
Telephone Number	:	323-734-1101
Fax Number	:	323-734-3872

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

Provider Enumeration Date	:	08/07/2014
Last Update Date	:	06/19/2024

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