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Contact Information

ADVANCED INTEGRATIVE REHABILITATION
1200 41ST AVE STE H
CAPITOLA, CA95010-3900
 Phone: 831-346-6886
 Fax: 831-346-6884
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for ADVANCED INTEGRATIVE REHABILITATION

NPI Number 1902132012
LBN Legal business name ADVANCED INTEGRATIVE REHABILITATION
Authorized official CHRISTOPHER VAFIADES - (PHYSICAL THERAPIST/ PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2009
Last updated 02/20/2020 - About 6 years ago
Identifiers
CA License # 35404
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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