Organization
KENNETH B. REHM, D.P.M.
Active
Other names
DIABETIC FOOT & WOUND MGM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH BRUCE REHM D.P.M. (OWNER)
(760) 744-6226
Entity
Organization
Contact information
Practice address
1600 S IMPERIAL AVE, SUITE 3, EL CENTRO, CA 92243-4242
(760) 335-3545
(760) 335-3613
Mailing address
1553 GRAND AVE, SUITE B, SAN MARCOS, CA 92078-2427
(760) 744-6226
(760) 744-6277
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
E2808
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E28081
—
CA
Enumeration date
07/30/2009
Last updated
02/19/2010
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