MEDICARE: CALIFORNIA REHAB GROUP

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	261QP2000X	Physical Therapy Clinic/Center	32932	CA

General Provider Information

NPI Number	:	1609913789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALIFORNIA REHAB GROUP

Provider Business Mailing Address
First Line	:	8121 VAN NUYS BLVD
Second Line	:
City	:	PANORAMA CITY
State	:	CA
Zip	:	91402-5105
Country	:	US
Telephone Number	:	818-392-8115
Fax Number	:

Provider Business Practice Location Address
First Line	:	8121 VAN NUYS BLVD
Second Line	:
City	:	PANORAMA CITY
State	:	CA
Zip	:	91402-5105
Country	:	US
Telephone Number	:	818-392-8115
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED PHYSICAL THERAPIST
Name	:	CLAUDINE F YEE
Credential	:
Telephone Number	:	818-671-7850

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	08/22/2020

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