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Organization

HUMANGOOD SOCAL

Active
Other names
Redwood Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
GWEN VANGELISTO (DIRECTOR OF ACCOUNTS RECEIVABLE)
(949) 463-0893
Entity
Organization

Contact information

Practice address
1151 S REDWOOD ST, ESCONDIDO, CA 92025-5614
(760) 747-4306
Mailing address
1900 HUNTINGTON DR, DUARTE, CA 91010-2694
(818) 247-0420
(949) 528-2434

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary

Other

Enumeration date
03/12/2020
Last updated
06/02/2025
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