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Organization
FOREVER YOUNG REHABILITATION LLC
Active
Organization
FOREVER YOUNG REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMER THEODORY (OWNER)
(949) 272-3325
Entity
Organization
Contact information
Practice address
1600 W COAST HWY STE E, NEWPORT BEACH, CA 92663-5000
(949) 272-3325
(949) 333-2962
Mailing address
1600 W COAST HWY STE E, NEWPORT BEACH, CA 92663-5000
(949) 272-3325
(949) 333-2962
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
04/21/2022
Last updated
09/25/2022
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