Healthcare Provider Details

I. General information

NPI: 1962816140
Provider Name (Legal Business Name): REHAB CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2014
Last Update Date: 06/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7335 PARK VILLAGE RD
SAN DIEGO CA
92129-4540
US

IV. Provider business mailing address

7335 PARK VILLAGE RD
SAN DIEGO CA
92129-4540
US

V. Phone/Fax

Practice location:
  • Phone: 858-837-1374
  • Fax:
Mailing address:
  • Phone: 858-837-1374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberOTA891
License Number StateCA

VIII. Authorized Official

Name: ARNEL MARAYAG RETUYA
Title or Position: CERTIFIED OCCUPATIONAL THERAPY ASST
Credential:
Phone: 858-837-1374