Organization
OPTIMAL REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY J VIVES (PRESIDENT)
(909) 394-0012
Entity
Organization
Contact information
Practice address
430 S CATARACT AVE, SAN DIMAS, CA 91773-2902
(909) 394-0012
(909) 305-1636
Mailing address
PO BOX 4586, ONTARIO, CA 91761-0821
(909) 394-0012
(909) 305-1636
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MDR1803
CA
Other
Enumeration date
05/17/2006
Last updated
06/22/2010
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