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NPI Code Detail

MEDICARE: FELIX R CANOUT REHABILITATION SERVICES, INC

MEDICARE: FELIX R CANOUT REHABILITATION SERVICES, INC
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
1174400000XSpecialistPT6488CA

General Provider Information

NPI Number : 1225148240
Entity Type Code : Organization
Provider Name (Legal Business Name) : FELIX R CANOUT REHABILITATION SERVICES, INC
Provider Business Mailing Address
First Line : 3638 LEWIS AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-4118
Country : US
Telephone Number : 213-481-1515
Fax Number : 213-481-1518
Provider Business Practice Location Address
First Line : 1200 WILSHIRE BLVD STE 401
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1919
Country : US
Telephone Number : 213-481-1515
Fax Number : 213-481-1518
Authorized Official
Title or Position : ADMINISTRATOR/PRESIDENT
Name : MR. FELIX ROBERT CANOUT
Credential : PHYSICAL THERAPIST
Telephone Number : 213-481-1515
Provider Enumeration Date : 08/30/2006
Last Update Date : 09/06/2023

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