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Organization
OASIS REHABILITATION CENTER INC.
Active
Organization
OASIS REHABILITATION CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ZUCKER PH.D. (PRESIDENT)
(310) 221-6336
Entity
Organization
Contact information
Practice address
81840 AVE. 46, SUITE 201, INDIO, CA 92201-3948
(760) 347-0750
(760) 863-8603
Mailing address
81840 AVE. 46, SUITE 201, INDIO, CA 92201-3948
(760) 347-0750
(760) 863-8603
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-03013
CITY OF INDIO, BUSINESS
CA
01
—
2016025
STATE DMH LICENSE NUMBER
CA
01
—
2213893
STATE CORP #
CA
01
—
33DV
DMH MEDICAL PROVIDER
CA
01
—
33DV01
STATE DMH REPORTING #
CA
Enumeration date
10/11/2006
Last updated
09/17/2014
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