Provider Demographics
NPI:1326478066
Name:MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP
Entity Type:Organization
Organization Name:MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHLOMO
Authorized Official - Middle Name:
Authorized Official - Last Name:RECHNITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-634-1940
Mailing Address - Street 1:4585 N FIGUEROA ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90065-3026
Mailing Address - Country:US
Mailing Address - Phone:323-223-3441
Mailing Address - Fax:323-223-9568
Practice Address - Street 1:4585 N FIGUEROA ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90065-3026
Practice Address - Country:US
Practice Address - Phone:323-223-3441
Practice Address - Fax:323-223-9568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZT05163FMedicaid
CAZZT05163FMedicaid