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NPI Code Detail

MEDICARE: REHABOLOGY

MEDICARE: REHABOLOGY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician113792CA

General Provider Information

NPI Number : 1134511249
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHABOLOGY
Provider Business Mailing Address
First Line : 25612 BARTON RD
Second Line : STE.266
City : LOMA LINDA
State : CA
Zip : 92354-3110
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1760 W 16TH ST
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92411-1160
Country : US
Telephone Number : 909-473-1200
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KAR-WAI YUNG
Credential : M.D.
Telephone Number : 909-473-1200
Provider Enumeration Date : 02/26/2015
Last Update Date : 02/26/2015

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Directions to “REHABOLOGY ” Practice Location

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