Healthcare Provider Details

I. General information

NPI: 1417103920
Provider Name (Legal Business Name): ASSURE REHABILITATION CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2008
Last Update Date: 08/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8232 GARVEY AVE SUITE 108
ROSEMEAD CA
91770-2580
US

IV. Provider business mailing address

8232 GARVEY AVE SUITE 108
ROSEMEAD CA
91770-2580
US

V. Phone/Fax

Practice location:
  • Phone: 626-288-8180
  • Fax: 626-288-9180
Mailing address:
  • Phone: 626-288-8180
  • Fax: 626-288-9180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: CONRADO PALIS
Title or Position: PRESIDENT
Credential: RPT
Phone: 626-288-8180