Organization
CALIFORNIA REHAB & SPORTS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PACE (COO)
(213) 804-1712
Entity
Organization
Contact information
Practice address
955 CARRILLO DR, LOS ANGELES, CA 90048-5400
(310) 854-0529
Mailing address
2035 CORTE DEL NOGAL STE 200, CARLSBAD, CA 92011-1445
(760) 931-8310
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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