Organization · NPI-2

Casa Colina Comprehensive Outpatient Rehabilitation Services, INC.

Clinic/Center, Sleep Disorder Diagnostic · Pomona, CA

NPI number1508018789
StatusActive
Last updated in NPPESAug 10, 2009

Details

NPI
1508018789
Entity type
Organization (NPI-2)
Legal business name
Casa Colina Comprehensive Outpatient Rehabilitation Services, INC.
Organization subpart
Yes
Enumeration date
Oct 21, 2008
Last updated
Aug 10, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1200X Clinic/Center, Sleep Disorder Diagnostic––Yes

Practice location

255 E Bonita Ave
Pomona, CA 91767-1923

Phone 909-596-7733 · Fax 909-593-0153

Mailing address

255 E Bonita Ave
Pomona, CA 91767-1923

Phone 909-450-0105 · Fax 909-593-0153

Authorized official

Felice L. Loverso
President & Chief Executive Officer
9095967733

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