Organization
OLYMPIC REHABILITATION ADHC, SITE II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LIOUBOV ANISSIMOVA (PROGRAM DIRECTOR)
(310) 300-1111
Entity
Organization
Contact information
Practice address
1227 S LA CIENEGA BLVD, LOS ANGELES, CA 90035-2520
(310) 300-1111
(310) 360-1575
Mailing address
1227 S.LA CIENEGA BLVD, LOS ANGELES, CA 90035
(310) 300-1111
(310) 360-1575
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
CA
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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