MEDICARE: PACIFIC RIM REHABILITATION CENTER

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	171100000X	Acupuncturist	AC7085	CA
2	225100000X	Physical Therapist	PT22207	CA

General Provider Information

NPI Number	:	1952428443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PACIFIC RIM REHABILITATION CENTER

Provider Business Mailing Address
First Line	:	PO BOX 4626
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-0626
Country	:	US
Telephone Number	:	408-436-5522
Fax Number	:	408-436-8777

Provider Business Practice Location Address
First Line	:	55 N 13TH ST
Second Line	:	SUITE A
City	:	SAN JOSE
State	:	CA
Zip	:	95112-3528
Country	:	US
Telephone Number	:	408-436-5522
Fax Number	:	408-436-8777

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JINJIAN CHEN
Credential	:
Telephone Number	:	408-436-5522

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	11/06/2020

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Directions to “PACIFIC RIM REHABILITATION CENTER ” Practice Location

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