Organization
ALTERNATIVE REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELMAR HEIMANSON RN (SECRETARY)
(310) 916-7177
Entity
Organization
Contact information
Practice address
8950 W OLYMPIC BLVD STE 373, BEVERLY HILLS, CA 90211-3565
(310) 916-7177
(323) 214-7938
Mailing address
8950 W OLYMPIC BLVD STE 373, BEVERLY HILLS, CA 90211-3565
(310) 916-7177
(323) 214-7938
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A40748
CA
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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