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NPI Code Detail

MEDICARE: REHABILITATION SOLUTIONS, A PROFESSIONAL MEDICAL CORPORATION

MEDICARE: REHABILITATION SOLUTIONS, A PROFESSIONAL MEDICAL CORPORATION
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) Physician

General Provider Information

NPI Number : 1770845257
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHABILITATION SOLUTIONS, A PROFESSIONAL MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 8159 SANTA MONICA BLVD
Second Line :
City : WEST HOLLYWOOD
State : CA
Zip : 90046-4988
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8205 SANTA MONICA BLVD
Second Line : # 1-299
City : WEST HOLLYWOOD
State : CA
Zip : 90046-5977
Country : US
Telephone Number : 323-646-4797
Fax Number :
Authorized Official
Title or Position : R.N.
Name : ELMAR HEIMANSON
Credential :
Telephone Number : 323-646-4797
Provider Enumeration Date : 06/12/2012
Last Update Date : 06/12/2012

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Directions to “REHABILITATION SOLUTIONS, A PROFESSIONAL MEDICAL CORPORATION ” Practice Location

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