Healthcare Provider Details

I. General information

NPI: 1770845257
Provider Name (Legal Business Name): REHABILITATION SOLUTIONS, A PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2012
Last Update Date: 06/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8205 SANTA MONICA BLVD # 1-299
WEST HOLLYWOOD CA
90046-5977
US

IV. Provider business mailing address

8159 SANTA MONICA BLVD
WEST HOLLYWOOD CA
90046-4988
US

V. Phone/Fax

Practice location:
  • Phone: 323-646-4797
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: ELMAR HEIMANSON
Title or Position: R.N.
Credential:
Phone: 323-646-4797