Organization
ADVANCED HEALTH REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLAN BAUTISTA (OWNER)
(562) 857-8287
Entity
Organization
Contact information
Practice address
13837 MONTEREY LN, LA MIRADA, CA 90638-6592
(562) 857-8287
(562) 245-6539
Mailing address
13837 MONTEREY LN, LA MIRADA, CA 90638-6592
(562) 857-8287
(562) 245-6539
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20033
CA
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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