SIMI VALLEY MTU NPI 1609978766

NPI Information

  • NPI: 1609978766
  • Provider Name: SIMI VALLEY MTU
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Former Legal Business Name: GARDEN GROVE MTU
  • Address: 2250 TRACY AVE
    SIMI VALLEY, CA
    ZIP 93063
  • Phone: (805) 584-9501

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NPI Details

SIMI VALLEY MTU is a rehabilitation clinic center in Simi Valley, CA. SIMI VALLEY MTU NPI is 1609978766. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Garden Grove Mtu.

The provider's business location address is:

2250 TRACY AVE
SIMI VALLEY, CA
ZIP 93063-753
Phone: (805) 584-9501
Fax: (805) 520-3571

The provider's authorized official is Laurell Mauro .
The authorized official title is Manager and has the following contact phone number (805) 981-5223.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 6/18/2008.

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
1261QR0400XClinic/CenterRehabilitationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CCS00018FOTHERCALIFORNIAMEDICAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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