# SOUTH PACIFIC REHABILITATION SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811348857
- **Authorized official:** KATHERINE DE LOS TRINOS DUQUE M.S. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (818) 216-0008

## Contact information

- **Practice address:** 12047 STEWARTON DR, PORTER RANCH, CA 91326-1156
- **Practice address phone:** (818) 216-0008
- **Mailing address:** 12047 STEWARTON DR, PORTER RANCH, CA 91326-1156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | SP14161 | CA | Yes |

## Other

- **Enumeration date:** 06/30/2016
- **Last updated:** 06/30/2016