Vibrantcare Outpatient Rehabilitation Of California INC
Clinic/Center, Physical Therapy in Fairfield, CA. Organization (NPI-2).
NPI number1790789295
StatusActive
Last updated in NPPESNov 22, 2023
Details
- NPI
- 1790789295
- Entity type
- Organization (NPI-2)
- Legal business name
- Vibrantcare Outpatient Rehabilitation Of California INC
- Organization subpart
- No
- Enumeration date
- Jun 13, 2005
- Certification date
- Nov 22, 2023
- Last updated
- Nov 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Other names
- Vibrantcare Rehabilitation (Doing Business As)
Practice location
1411 Oliver Rd Ste 200Fairfield, CA 94534-3429
Phone 707-428-1311 · Fax 707-428-1354
Mailing address
Po Box 840343Los Angeles, CA 90084-0343
Phone 916-789-8115 · Fax 916-773-1481
Authorized official
David Smith
Ceo
9167821212
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Clinic/Center providers in Fairfield, CA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.