| NPI | 1962401398 |
|---|---|
| Doing Business As | LA MESA REHAB |
| Entity Type | Organization |
| Authorized Contact | TAMI PEAVY CEO 619-466-6077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 27486) |
| 2278P1005X Respiratory Therapist, Certified, Pulmonary Rehabilitation (Licence: CA 22847) | |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2023-07-25 |