# INTERSTATE REHABILITATION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144533217
- **Authorized official:** MR. JAMES PIETSCH (PRESIDENT)
- **Authorized official phone:** (818) 244-5656

## Contact information

- **Practice address:** 411 LINCOLN AVE APT 18, GLENDALE, CA 91205-4312
- **Practice address phone:** (714) 334-6954
- **Mailing address:** 438 W LAS TUNAS DR, SAN GABRIEL, CA 91776-1216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 35437 | CA | Yes |

## Other

- **Enumeration date:** 07/19/2010
- **Last updated:** 08/04/2010