Organization
PROREHAB PHYSICAL THERAPY AND SPORTS MEDICINE, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNG KIM (PRESIDENT)
(626) 288-8180
Entity
Organization
Contact information
Practice address
2630 SAN GABRIEL BLVD, SUITE 103, ROSEMEAD, CA 91770-5204
(626) 288-8180
Mailing address
473 LAS PALMAS DR, IRVINE, CA 92602-2314
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2013
Last updated
08/12/2013
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