Organization
SOUTH PACIFIC REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROWINA ORIBEDLLO (HUMAN RESOURCES MANAGER)
(818) 986-1977
Entity
Organization
Contact information
Practice address
16260 VENTURA BLVD, SUITE 60, ENCINO, CA 91436-2203
(818) 986-1977
Mailing address
16260 VENTURA BLVD, SUITE 60, ENCINO, CA 91436-2203
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7797
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225100000
—
CA
Enumeration date
06/19/2016
Last updated
06/19/2016
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