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Organization
SOUTH PACIFIC REHABILITATION SERVICES, INC
Active
Organization
SOUTH PACIFIC REHABILITATION SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CALVIN IYOYA (CHIEF OPERATION OFFICER)
(818) 986-1977
Entity
Organization
Contact information
Practice address
830 SOUTH CITRUS AVE, SUITE 203, AZUSA, CA 91702-5911
(626) 339-6514
(626) 339-6573
Mailing address
16260 VENTURA BLVD STE 600, ENCINO, CA 91436-4604
(818) 986-1977
(818) 986-4757
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
10/09/2007
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