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Organization

QUALITY REHAB SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALAN BENNETT COHEN (OWNER)
(949) 733-1147
Entity
Organization

Contact information

Practice address
49 WASHINGTON, IRVINE, CA 92606-1758
(949) 733-1147
Mailing address
49 WASHINGTON, IRVINE, CA 92606-1758
(949) 733-1147

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
101263817
CA
305R00000X
Preferred Provider Organization
101263817
CA
305S00000X
Point of Service
101263817
CA

Other

Enumeration date
08/06/2014
Last updated
08/06/2014
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