MEDICARE: CALIFORNIA REHABILITATION EQUIPMENT, 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
1	332BC3200X	Customized Equipment (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679729339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALIFORNIA REHABILITATION EQUIPMENT, INC.

Provider Business Mailing Address
First Line	:	1172 NATIONAL DR
Second Line	:	SUITE 90
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-2949
Country	:	US
Telephone Number	:	916-419-2264
Fax Number	:

Provider Business Practice Location Address
First Line	:	1172 NATIONAL DR
Second Line	:	SUITE 90
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-2949
Country	:	US
Telephone Number	:	916-419-2264
Fax Number	:

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	ROB THORNTON
Credential	:
Telephone Number	:	818-402-8393

Provider Enumeration Date	:	08/13/2008
Last Update Date	:	08/13/2008

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