Organization
HUNTINGTON REHABILITATION MEDICINE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNIL KUMAR HEGDE M.D. (PRESIDENT)
(626) 403-1444
Entity
Organization
Contact information
Practice address
630 S. RAYMOND AVE, STE #120, PASADENA, CA 91105-3036
(626) 403-1444
(626) 403-1448
Mailing address
630 S. RAYMOND AVE, STE #120, PASADENA, CA 91105-3036
(626) 403-1444
(626) 403-1448
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0063130
—
CA
Enumeration date
06/19/2006
Last updated
03/16/2011
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