Organization
CALIFORNIA REHAB GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AILENE B. RIVERA PT (PRESIDENT)
(818) 634-6328
Entity
Organization
Contact information
Practice address
11435 HAMLIN ST, 201, NORTH HOLLYWOOD, CA 91606
(818) 634-6328
(818) 357-5574
Mailing address
11024 BALBOA BLVD, 504, GRANADA HILLS, CA 91344-5007
(818) 634-6328
(818) 357-5574
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT28631
CA
225XN1300X
Neurorehabilitation Occupational Therapist
WOT2198
CA
Other
Enumeration date
07/26/2006
Last updated
06/08/2009
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