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Organization
INNOVATIVE REHAB. INC
Active
Organization
INNOVATIVE REHAB. INC
Active
Other names
innovative wellness dba
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES K CHO MPT, PH.D. (PRESIDENT)
(562) 965-1452
Entity
Organization
Contact information
Practice address
506 S ALVARADO ST, LOS ANGELES, CA 90057-2904
(213) 413-3038
(213) 484-4201
Mailing address
15161 E. RIVIERA LANE, LA MIRADA, CA 90638
(562) 965-1452
(714) 690-3951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26577
CA
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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