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NPI Code Detail

MEDICARE: SOCAL REHAB CONSULTANTS INC

MEDICARE: SOCAL REHAB CONSULTANTS 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
1208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1780182816
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOCAL REHAB CONSULTANTS INC
Provider Business Mailing Address
First Line : 25612 BARTON RD STE 266
Second Line :
City : LOMA LINDA
State : CA
Zip : 92354-3110
Country : US
Telephone Number : 909-529-6921
Fax Number : 951-688-1432
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 : 909-529-6921
Fax Number : 951-688-1432
Authorized Official
Title or Position : OFFICE ADMINISTRATOR
Name : ANN MONTES
Credential :
Telephone Number : 951-310-8232
Provider Enumeration Date : 01/23/2018
Last Update Date : 01/13/2021

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Directions to “SOCAL REHAB CONSULTANTS INC ” Practice Location

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