Organization
GRANADA HILLS PHYSICAL THERAPY & REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS FERNANDO RODRIGUEZ (CFO)
(818) 363-3000
Entity
Organization
Contact information
Practice address
10515 BALBOA BLVD, SUITE 140, GRANADA HILLS, CA 91344-6343
(818) 363-3000
(818) 363-3099
Mailing address
10515 BALBOA BLVD, SUITE 140, GRANADA HILLS, CA 91344-6343
(818) 363-3000
(818) 363-3099
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT28812
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801991955
NPI
CA
Enumeration date
09/20/2006
Last updated
08/22/2020
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