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Organization
INTEGRATED REHABILITATION CONSULTANTS PC
Active
Organization
INTEGRATED REHABILITATION CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADY BOUTROS (M.D)
(909) 331-1602
Entity
Organization
Contact information
Practice address
15120 KENSINGTON PARK DR, TUSTIN, CA 92782-1801
(714) 832-9200
Mailing address
340 E 1ST ST UNIT 219, TUSTIN, CA 92781-2211
(909) 331-1602
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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