Organization
CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICE L LOVERSO PH D (PRESIDENT CEO)
(909) 596-7733
Entity
Organization
Contact information
Practice address
255 E BONITA AVE, POMONA, CA 91767-1923
(909) 596-7733
(909) 593-9417
Mailing address
PO BOX 6001, POMONA, CA 91769-6001
(909) 596-7733
(909) 593-1053
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
930000026
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC32019F
—
CA
01
—
ZZT42019F
MEDICAL
CA
Enumeration date
12/29/2005
Last updated
11/06/2015
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