Basic Information
| Provider Information | |||||||||
| NPI: | 1659780096 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BAY VISTA HEALTHCARE & 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: | 5901 DOWNEY AVE | ||||||||
| Address2: | |||||||||
| City: | LONG BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 908054518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5626344693 | ||||||||
| FaxNumber: | 5626302039 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/11/2014 | ||||||||
| LastUpdateDate: | 04/07/2016 | ||||||||
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| AuthorizedOfficialLastName: | RECHNITZ | ||||||||
| AuthorizedOfficialFirstName: | SHLOMO | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 3238001191 | ||||||||
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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.