Organization
INTERSTATE REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PIETSCH (PRESIDENT)
(818) 244-5656
Entity
Organization
Contact information
Practice address
411 LINCOLN AVE APT 18, GLENDALE, CA 91205-4312
(714) 334-6954
Mailing address
438 W LAS TUNAS DR, SAN GABRIEL, CA 91776-1216
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
35437
CA
Other
Enumeration date
07/19/2010
Last updated
08/04/2010
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