Organization
OLYMPIC REHABILITATION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAYA TSIRULSKY (A)
(323) 954-4000
Entity
Organization
Contact information
Practice address
624 N LA BREA AVE, LOS ANGELES, CA 90036-2014
(323) 954-4000
Mailing address
624 N LA BREA AVE, LOS ANGELES, CA 90036-2014
(323) 954-4000
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU40708F
—
CA
05
—
ADU70136F
—
CA
05
—
ADU70362F
—
CA
Enumeration date
02/28/2007
Last updated
08/13/2007
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