Organization
LOOMIS GANG REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLETTE THILKEN (MANAGER)
(949) 533-0319
Entity
Organization
Contact information
Practice address
1130 W LA PALMA AVE, ANAHEIM, CA 92801-2803
(714) 772-7480
Mailing address
6475 E PACIFIC COAST HWY # 746, LONG BEACH, CA 90803-4201
(949) 533-0319
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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