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EASTER SEAL SOCIETY OF SUPERIOR CALIFORNIA NPI 1679988976


NPI Information

NPI: 1679988976
Provider Name: EASTER SEAL SOCIETY OF SUPERIOR CALIFORNIA

Doing Business As: EASTER SEALS SUPERIOR CALIFORNIA

Classification: Physical Medicine & Rehabilitation - 2081P0301X
Entity Type: Organization

Specialization: Brain Injury Medicine

Address:
3205 HURLEY WAY
SACRAMENTO, CA
ZIP 95864
Phone: (916) 485-6711
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EASTER SEAL SOCIETY OF SUPERIOR CALIFORNIA is a brain injury medicine physical medicine rehabilitation in Sacramento, CA. The provider is a Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences. EASTER SEAL SOCIETY OF SUPERIOR CALIFORNIA NPI is 1679988976. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Easter Seals Superior California.

The provider's business location address is:

3205 HURLEY WAY
SACRAMENTO, CA
ZIP 95864-853
Phone: (916) 485-6711
Fax: (916) 485-2653

The provider's authorized official is Hoan Nguyen .
The authorized official title is Cfo and has the following contact phone number (916) 485-6711.

The enumeration date for this NPI number is 6/25/2014 and was last updated on 12/7/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208100000XPhysical Medicine & RehabilitationNo
2225100000XPhysical TherapistNo
32251P0200XPhysical TherapistPediatrics41400CALIFORNIANo
4225X00000XOccupational TherapistNo
5235Z00000XSpeech-Language PathologistNo
62081P0301XPhysical Medicine & RehabilitationBrain Injury MedicineYes

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: 4/28/2024

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