Organization
NEW LIFE REHAB AND ACUPUNCTURE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BENZ TRINO PT (CEO)
(310) 701-4349
Entity
Organization
Contact information
Practice address
9161 SIERRA AVE, FONTANA, CA 92335-4729
(909) 428-6882
Mailing address
9161 SIERRA AVE, FONTANA, CA 92335-4729
(909) 428-6882
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
053961
CA
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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