Healthcare Provider Details
I. General information
NPI: 1639051824
Provider Name (Legal Business Name): RESTORATIVE HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2025
Last Update Date: 01/17/2026
Certification Date: 01/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
41391 KALMIA ST STE 130
MURRIETA CA
92562-9766
US
IV. Provider business mailing address
41391 KALMIA ST STE 130
MURRIETA CA
92562-9766
US
V. Phone/Fax
- Phone: 951-704-2907
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251C2600X |
| Taxonomy | Cardiopulmonary Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2279P1005X |
| Taxonomy | Pulmonary Rehabilitation Registered Respiratory Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0404X |
| Taxonomy | Cardiac Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
PEDRO
FLORES
Title or Position: PRESIDENT/CEO
Credential: PH.D.
Phone: 951-704-2907