Organization
CASA COLINA COMPREHENSIVE OUTPATIENT REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FELICE LOVERSO PHD (PRESIDENT & CEO)
(909) 596-7733
Entity
Organization
Contact information
Practice address
255 E BONITA AVENUE, POMONA, CA 91767
(909) 596-7733
(909) 596-4943
Mailing address
PO BOX 6001, POMONA, CA 91769-6001
(909) 596-7733
(909) 593-9417
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADH70014F
—
CA
Enumeration date
10/23/2006
Last updated
08/22/2020
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