Organization
BAY REHABILITATION INC
Active
Organization
BAY REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DILLON YOUNG CHANG P.T. (PRESIDENT/PHYSICAL THERAPIST)
(323) 725-0711
Entity
Organization
Contact information
Practice address
1520 W BEVERLY BLVD, MONTEBELLO, CA 90640-3930
(323) 725-0711
(323) 725-0284
Mailing address
1520 W BEVERLY BLVD, MONTEBELLO, CA 90640-3930
(323) 725-0711
(323) 725-0284
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BM481A
MEDICARE PTAN #
CA
Enumeration date
12/05/2006
Last updated
04/17/2020
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