Quality Rehab Services
Exclusive Provider Organization in Irvine, CA. Organization (NPI-2).
NPI number1043629751
StatusActive
Last updated in NPPESAug 6, 2014
Details
- NPI
- 1043629751
- Entity type
- Organization (NPI-2)
- Legal business name
- Quality Rehab Services
- Organization subpart
- No
- Enumeration date
- Aug 6, 2014
- Last updated
- Aug 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302F00000X | Exclusive Provider Organization | 101263817 | CA | Yes |
| 305R00000X | Preferred Provider Organization | 101263817 | CA | |
| 305S00000X | Point of Service | 101263817 | CA |
Practice location
49 WashingtonIrvine, CA 92606-1758
Phone 949-733-1147
Mailing address
49 WashingtonIrvine, CA 92606-1758
Phone 949-733-1147
Authorized official
Alan Bennett Cohen
Owner
9497331147
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