Organization
PACIFIC RIM REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R PATTERSON MD (PARTNER)
(909) 596-7733
Entity
Organization
Contact information
Practice address
255 E BONITA AVE, POMONA, CA 91767-1923
(909) 596-7733
Mailing address
255 E BONITA AVE, POMONA, CA 91767-1923
(909) 596-7733
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE
CA
Enumeration date
03/04/2008
Last updated
06/27/2008
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