| NPI | 1932701075 | 
|---|---|
| Doing Business As | PUEBLO SPRINGS REHABILITATION CENTER | 
| Entity Type | Organization | 
| Authorized Contact | SOON BURNAM Treasurer 949-540-1249  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | 
| Enumeration Date | 2020-11-13 | 
| Last Update Date | 2022-07-20 |