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SUNDANCE REHABILITATION AGENCY INC NPI 1699720664


NPI Information

NPI: 1699720664
Provider Name: SUNDANCE REHABILITATION AGENCY INC

Doing Business As: SUNDANCE REHABILITATION AGENCY OF CALIFORNIA

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
931 BUENA VISTA ST
SUITE 307
DUARTE, CA
ZIP 91010
Phone: (626) 358-2173
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SUNDANCE REHABILITATION AGENCY INC is a rehabilitation clinic center in Duarte, CA. SUNDANCE REHABILITATION AGENCY INC NPI is 1699720664. The provider is registered as an organization entity type.
The provider Is Doing Business As Sundance Rehabilitation Agency Of California.

The provider's business location address is:

931 BUENA VISTA ST
SUITE 307
DUARTE, CA
ZIP 91010-712
Phone: (626) 358-2173
Fax: (626) 358-2057

The provider's authorized official is Daniel A Hirschfeld .
The authorized official title is President and has the following contact phone number (610) 444-6350.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 10/2/2013.


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
1261QR0400XClinic/CenterRehabilitationN/ANo
2261QR0400XClinic/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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1556576MEDICARE OSCAR/CERTIFICATION

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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