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Organization
SOUTH PACIFIC REHAB SERVICES
Active
Organization
SOUTH PACIFIC REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB COHEN (OWNER)
(818) 986-1977
Entity
Organization
Contact information
Practice address
4940 VAN NUYS BLVD, 301, SHERMAN OAKS, CA 91403-1700
(818) 990-5050
(818) 990-9449
Mailing address
16260 VENTURA BLVD, 600, ENCINO, CA 91436-2203
(818) 986-1977
(818) 986-4757
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/27/2011
Last updated
11/01/2011
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