# CALIFORNIA REHAB GROUP

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

## Provider details

- **NPI number:** 1376566711
- **Authorized official:** AILENE B. RIVERA PT (PRESIDENT)
- **Authorized official phone:** (818) 634-6328

## Contact information

- **Practice address:** 11435 HAMLIN ST, 201, NORTH HOLLYWOOD, CA 91606
- **Practice address phone:** (818) 634-6328
- **Practice address fax:** (818) 357-5574
- **Mailing address:** 11024 BALBOA BLVD, 504, GRANADA HILLS, CA 91344-5007
- **Mailing address phone:** (818) 634-6328
- **Mailing address fax:** (818) 357-5574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251G0304X | Geriatric Physical Therapist | PT28631 | CA | Yes |
| 225XN1300X | Neurorehabilitation Occupational Therapist | WOT2198 | CA | — |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 06/08/2009