| NPI | 1528093697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY R TIMMEN Lincensed Clinical Social Worker 562-826-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: CO 992011) |
| Additional Taxonomies | 261QV0200X Clinic/Center, VA (Licence: CO 992011) |
| 273Y00000X Rehabilitation Unit (Licence: CO 992011) | |
| 282N00000X General Acute Care Hospital (Licence: CO 992011) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |