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NPI Code Detail

MEDICARE: CALIFORNIA REHABILITATION, INC

MEDICARE: CALIFORNIA REHABILITATION, 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
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) PhysicianG64726CA

General Provider Information

NPI Number : 1275638967
Entity Type Code : Organization
Provider Name (Legal Business Name) : CALIFORNIA REHABILITATION, INC
Provider Business Mailing Address
First Line : 361 HOSPITAL RD STE 425
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92663-3525
Country : US
Telephone Number : 949-548-4580
Fax Number : 949-548-2558
Provider Business Practice Location Address
First Line : 361 HOSPITAL RD STE 425
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92663-3525
Country : US
Telephone Number : 949-548-4580
Fax Number : 949-548-2558
Authorized Official
Title or Position : PHYSICIAN
Name : DR. LESTER SCOTT STONEY
Credential : MD
Telephone Number : 949-548-4580
Provider Enumeration Date : 09/14/2006
Last Update Date : 08/22/2020

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Directions to “CALIFORNIA REHABILITATION, INC ” Practice Location

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