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Organization
GENESIS REHAB
Active
Organization
GENESIS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SAVOEUN OUCH (PTA)
(323) 481-7865
Entity
Organization
Contact information
Practice address
430 WILLOW ST, ALAMEDA, CA 94501-6130
(323) 481-7865
Mailing address
975 EVERETT ST APT 3, LOS ANGELES, CA 90026-4437
(323) 481-7865
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
AT9533
CA
Other
Enumeration date
01/22/2013
Last updated
01/12/2015
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