Organization
BEYOND PHYSICAL MEDICINE AND REHABILITATION, INC
Active
Parent organization
BEYOND PHYSICAL MEDICINE AND REHABILITATION, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEYOND PHYSICAL MEDICINE AND REHABILITATION, INC
Authorized official
DR. GLENDA GOODWIN M.D. (PRESIDENT)
(916) 941-6500
Entity
Organization
Contact information
Practice address
1106 WINDFIELD WAY, SUITE 2, EL DORADO HILLS, CA 95762-9360
(916) 941-6500
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/02/2011
Last updated
05/21/2013
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