Healthcare Provider Details

I. General information

NPI: 1093517039
Provider Name (Legal Business Name): VOCATIONAL REHABILITATION SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2025
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3610 CENTRAL AVE STE 106
RIVERSIDE CA
92506-5904
US

IV. Provider business mailing address

3610 CENTRAL AVE STE 106
RIVERSIDE CA
92506-5904
US

V. Phone/Fax

Practice location:
  • Phone: 951-433-0547
  • Fax:
Mailing address:
  • Phone: 951-433-0547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT LOEUN
Title or Position: EXECUTIVE DIRECTOR
Credential: MASTER IN REHAB.
Phone: 951-433-0547