OrganizationActive
1338 20th Street LLC
NPI 1649041195 · Skilled Nursing Facility · Santa Monica, CA
Provider details
- NPI number
- 1649041195
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ezequiel Bercovich, Manager(213) 948-0193
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1338 20th St
Santa Monica, CA 90404-2034
Phone: (310) 255-2800
Approximate (ZIP-level) locationGet directions
Mailing address
12642 Hatteras St
Valley Village, CA 91607-1525
Other names (DBA / former)
- Doing business as
- Santa Monica Rehabilitation Center
Registry dates
- Enumerated
- 2024-01-12
- Last updated
- 2024-01-12
- Certified
- 2024-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.