Organization
PRISTINE REHAB CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KISHORE KANTAMANENI (PRESIDENT)
(909) 396-8900
Entity
Organization
Contact information
Practice address
706 N DIAMOND BAR BLVD STE B, DIAMOND BAR, CA 91765-1059
(909) 396-8900
(909) 396-9900
Mailing address
706 N DIAMOND BAR BLVD STE B, DIAMOND BAR, CA 91765-1059
(909) 396-8900
(909) 396-9900
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
CA
Other
Enumeration date
01/27/2010
Last updated
11/03/2010
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