MEDICARE: CALIFORNIA ABARIS REHABILITATION AND EDUCATIONAL SERVICES, 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
1	261QH0100X	Health Service Clinic/Center	OT 572	CA

General Provider Information

NPI Number	:	1518169002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALIFORNIA ABARIS REHABILITATION AND EDUCATIONAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 1010
Second Line	:
City	:	MORONGO VALLEY
State	:	CA
Zip	:	92256-1010
Country	:	US
Telephone Number	:	760-327-6300
Fax Number	:	760-327-6344

Provider Business Practice Location Address
First Line	:	777 N PALM CANYON DR
Second Line	:	SUITE 200
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-5546
Country	:	US
Telephone Number	:	760-327-6300
Fax Number	:	760-327-6344

Authorized Official
Title or Position	:	CEO
Name	:	MS. CAROL P GOLDBERG
Credential	:
Telephone Number	:	760-327-6300

Provider Enumeration Date	:	06/05/2007
Last Update Date	:	08/22/2020

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