Organization
AIJ, INC
Active
Other names
La Mesa Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI PEAVY (CEO)
(619) 466-6077
Entity
Organization
Contact information
Practice address
8380 CENTER DR, # E, LA MESA, CA 91942-2952
(619) 466-6077
(619) 466-6118
Mailing address
8380 CENTER DR, # E, LA MESA, CA 91942-2952
(619) 466-6077
(619) 466-6118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
27486
CA
2278P1005X
Pulmonary Rehabilitation Certified Respiratory Therapist
22847
CA
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ64706Z
BLUE SHIELD OF CA
CA
Enumeration date
07/18/2005
Last updated
07/25/2023
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