# CALIFORNIA REHAB AND SPORTS THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** California Rehabilitation - Beverly Hills
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639129745
- **Authorized official:** ROBERT PACE (COO)
- **Authorized official phone:** (213) 804-1712

## Contact information

- **Practice address:** 955 CARRILLO DR STE 103, LOS ANGELES, CA 90048-5400
- **Practice address phone:** (310) 854-0529
- **Practice address fax:** (310) 854-0768
- **Mailing address:** 2035 CORTE DEL NOGAL STE 200, CARLSBAD, CA 92011-1445
- **Mailing address phone:** (903) 486-6025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XH1200X | Hand Occupational Therapist | OT 2401 | CA | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 11/14/2019