Organization
LA CORF SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEKSANDR BLYUMKIN (PRESIDENT)
(213) 250-2673
Entity
Organization
Contact information
Practice address
1127 WILSHIRE BLVD, #820, LOS ANGELES, CA 90017-3901
(213) 250-2673
(213) 250-2633
Mailing address
1127 WILSHIRE BLVD, #820, LOS ANGELES, CA 90017-3901
(213) 250-2673
(213) 250-2633
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
054544
CA
Other
Enumeration date
09/20/2005
Last updated
08/22/2020
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