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NPI Code Detail

MEDICARE: NOVACARE OUTPATIENT REHABILITATION OF CALIFORNIA INC

MEDICARE: NOVACARE OUTPATIENT REHABILITATION OF CALIFORNIA INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1275537821
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOVACARE OUTPATIENT REHABILITATION OF CALIFORNIA INC
Provider Business Mailing Address
First Line : 2270 DOUGLAS BLVD
Second Line : STE 112
City : ROSEVILLE
State : CA
Zip : 95661-3869
Country : US
Telephone Number : 916-782-1212
Fax Number : 916-773-1481
Provider Business Practice Location Address
First Line : 10601 SOUTH DEANZA BOULEVARD
Second Line : STE. 214
City : CUPERTINO
State : CA
Zip : 95014
Country : US
Telephone Number : 408-996-2220
Fax Number : 408-865-0416
Authorized Official
Title or Position : CEO
Name : MR. DAVID SMITH
Credential :
Telephone Number : 916-782-1212
Provider Enumeration Date : 06/10/2005
Last Update Date : 03/12/2008

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Directions to “NOVACARE OUTPATIENT REHABILITATION OF CALIFORNIA INC ” Practice Location

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