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Organization
PROSTAR REHABILITATION SERVICES, LLC
Active
Organization
PROSTAR REHABILITATION SERVICES, LLC
Active
Other names
ProStar Rehabilitation Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER JULIAN ARIAS BSHA (OTA/L, ADMINISTRATOR)
(305) 343-1211
Entity
Organization
Contact information
Practice address
9171 WILSHIRE BLVD STE 500, BEVERLY HILLS, CA 90210-5536
(305) 343-1211
Mailing address
9171 WILSHIRE BLVD STE 500, BEVERLY HILLS, CA 90210-5536
(305) 343-1211
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871074070
AWAITING MEDICARE NUMBER
CA
Enumeration date
04/25/2019
Last updated
04/25/2019
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