CASA COLINA COMPREHENSIVE OUTPATIENT REHABILITATION SERVICES INC. NPI 1508018789

NPI Information

NPI: 1508018789
Provider Name: CASA COLINA COMPREHENSIVE OUTPATIENT REHABILITATION SERVICES, INC.
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

CLIA Number: 05D1060774

Address:
255 E BONITA AVE
POMONA, CA
ZIP 91767
Phone: (909) 596-7733
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CASA COLINA COMPREHENSIVE OUTPATIENT REHABILITATION SERVICES, INC. is a sleep disorder diagnostic clinic center in Pomona, CA. CASA COLINA COMPREHENSIVE OUTPATIENT REHABILITATION SERVICES, INC. NPI is 1508018789. The provider is registered as an organization entity type.

The provider's business location address is:

255 E BONITA AVE
POMONA, CA
ZIP 91767-923
Phone: (909) 596-7733
Fax: (909) 593-0153

The provider's authorized official is Felice L. Loverso .
The authorized official title is President & Chief Executive Officer and has the following contact phone number (909) 596-7733.

The CLIA number assigned to this NPI record is 05D1060774 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/21/2008 and was last updated on 8/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic			Yes

What is NPI?

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This page was last updated on: 11/14/2023

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