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Organization
EINHORN MANDAS & BRADLEY REHAB INC
Active
Organization
EINHORN MANDAS & BRADLEY REHAB INC
Active
Other names
LOS ALAMITOS ORTHOPEDIC & SPORTS PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW RICHARD EINHORN PT (OWNER)
(562) 431-6004
Entity
Organization
Contact information
Practice address
5152 KATELLA AVE STE 106, LOS ALAMITOS, CA 90720-2843
(562) 431-6004
(562) 431-9854
Mailing address
5152 KATELLA AVE STE 106, LOS ALAMITOS, CA 90720-2843
(562) 431-6004
(562) 431-9854
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126026700
DEPT LABOR PROVIDER #
CA
01
—
DF9194
RAILROAD MEDICARE
CA
Enumeration date
04/20/2007
Last updated
11/01/2021
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