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CALIFORNIA REHAB AND SPORTS THERAPY

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Contact Information

CALIFORNIA REHAB AND SPORTS THERAPY
955 CARRILLO DR STE 103
LOS ANGELES, CA  90048-5400
 Phone: 310-854-0529
 Fax: 310-854-0768
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Hand

 225XH1200X 67 Occupational Therapist in Private Practice
 

Physical Therapy

 261QP2000X
Indicates primary specialty

NPI Profile & details for CALIFORNIA REHAB AND SPORTS THERAPY

NPI Number 1639129745
LBN Legal business name CALIFORNIA REHAB AND SPORTS THERAPY
Authorized official ROBERT PACE - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2006
Last updated 11/14/2019 - About 7 years ago
Identifiers
CA License # OT 2401
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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