# KENNETH B. REHM, D.P.M.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DIABETIC FOOT & WOUND MGM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770714396
- **Authorized official:** DR. KENNETH BRUCE REHM D.P.M. (OWNER)
- **Authorized official phone:** (760) 744-6226

## Contact information

- **Practice address:** 1600 S IMPERIAL AVE, SUITE 3, EL CENTRO, CA 92243-4242
- **Practice address phone:** (760) 335-3545
- **Practice address fax:** (760) 335-3613
- **Mailing address:** 1553 GRAND AVE, SUITE B, SAN MARCOS, CA 92078-2427
- **Mailing address phone:** (760) 744-6226
- **Mailing address fax:** (760) 744-6277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | E2808 | CA | Yes |

## Other

- **Enumeration date:** 07/30/2009
- **Last updated:** 02/19/2010
