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Organization
MANAGED CARE REHAB., INC.
Active
Organization
MANAGED CARE REHAB., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAYHAN SOODJANI (ADMINISTRATOR)
(818) 886-2245
Entity
Organization
Contact information
Practice address
18531 ROSCOE BLVD, SUITE 215A, NORTHRIDGE, CA 91324-5462
(818) 886-2245
(818) 886-3826
Mailing address
18531 ROSCOE BLVD, SUITE 215A, NORTHRIDGE, CA 91324-5462
(818) 886-2245
(818) 886-3826
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT20306
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT0203060
—
CA
Enumeration date
01/24/2007
Last updated
03/12/2013
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