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General NPI Number Information
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NPI Number | 1740874023
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Entity Type | Organization
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Legal Business Name | CALIFORNIA REHABILITATION AND SPORTS THERAPY A CALIFORNIA PHYSICAL THER
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Dates
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Enumeration Date | 02/26/2021
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 11260 WILBUR AVE STE 101
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City | NORTHRIDGE
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State | CA
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Zip | 91326-2450
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Country | US
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Telephone | 818-832-5656
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Fax |
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Provider Business Mailing Address
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Address Line | 2035 CORTE DEL NOGAL STE 200
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City | CARLSBAD
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State | CA
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Zip | 92011-1445
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER AND COO
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Name | ROBERT PACE
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Credential |
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Telephone | 213-804-1712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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