Provider Demographics
NPI:1043351885
Name:OCEAN COMMUNITY CARE SERVICES, INC.
Entity Type:Organization
Organization Name:OCEAN COMMUNITY CARE SERVICES, INC.
Other - Org Name:OCEAN COMMUNITY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MATZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-825-0526
Mailing Address - Street 1:1448 18TH STREET
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2804
Mailing Address - Country:US
Mailing Address - Phone:310-586-7607
Mailing Address - Fax:310-586-7600
Practice Address - Street 1:1448 18TH ST
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2804
Practice Address - Country:US
Practice Address - Phone:310-586-7607
Practice Address - Fax:310-586-7600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care