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General NPI Number Information
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NPI Number | 1780182816
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Entity Type | Organization
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Legal Business Name | SOCAL REHAB CONSULTANTS INC
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Dates
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Enumeration Date | 01/23/2018
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Last Update Date | 01/13/2021
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Provider Practice Location Address
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Address Line | 1760 W 16TH ST
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City | SAN BERNARDINO
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State | CA
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Zip | 92411-1160
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Country | US
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Telephone | 909-529-6921
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Fax | 951-688-1432
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Provider Business Mailing Address
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Address Line | 25612 BARTON RD STE 266
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City | LOMA LINDA
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State | CA
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Zip | 92354-3110
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Country | US
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Telephone | 909-529-6921
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Fax | 951-688-1432
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | ANN MONTES
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Credential |
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Telephone | 951-310-8232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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