Basic Information
| Provider Information | |||||||||
| NPI: | 1134528904 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LOS ANGELES REHABILITATION & WELLNESS CENTRE, LP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5900 WILSHIRE BLVD | ||||||||
| Address2: | SUITE 1600 | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900365013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3233306500 | ||||||||
| FaxNumber: | 8666033566 | ||||||||
| Practice Location | |||||||||
| Address1: | 340 S ALVARADO ST | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900572915 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2134849730 | ||||||||
| FaxNumber: | 2134849507 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2014 | ||||||||
| LastUpdateDate: | 08/18/2014 | ||||||||
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| AuthorizedOfficialLastName: | RECHNITZ | ||||||||
| AuthorizedOfficialFirstName: | SHLOMO | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGING MEMBER | ||||||||
| AuthorizedOfficialTelephone: | 3236341940 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.