Healthcare Provider Details

I. General information

NPI: 1003843244
Provider Name (Legal Business Name): SEVEN OAKS REHABILITATION & FITNESS CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 01/02/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 TRIUNFO CANYON ROAD
WESTLAKE VILLAGE CA
91361-2525
US

IV. Provider business mailing address

141 TRIUNFO CANYON ROAD
WESTLAKE VILLAGE CA
91361-2525
US

V. Phone/Fax

Practice location:
  • Phone: 805-373-6560
  • Fax: 805-373-5120
Mailing address:
  • Phone: 805-373-6560
  • Fax: 805-373-5120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: POLLY M MEDCALF
Title or Position: OWNER
Credential:
Phone: 805-373-6560