CASA COLINA COMPREHENSIVE OUTPATIENT REHABILITATION SERVICES NPI 1972686863

NPI Information

NPI: 1972686863
Provider Name: CASA COLINA COMPREHENSIVE OUTPATIENT REHABILITATION SERVICES
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
255 E BONITA AVENUE
POMONA, CA
ZIP 91767
Phone: (909) 596-7733
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CASA COLINA COMPREHENSIVE OUTPATIENT REHABILITATION SERVICES is an adult day care clinic center in Pomona, CA. CASA COLINA COMPREHENSIVE OUTPATIENT REHABILITATION SERVICES NPI is 1972686863. The provider is registered as an organization entity type.

The provider's business location address is:

255 E BONITA AVENUE
POMONA, CA
ZIP 91767
Phone: (909) 596-7733
Fax: (909) 596-4943

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

The enumeration date for this NPI number is 10/23/2006 and was last updated on 8/22/2020.

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	261QA0600X	Clinic/Center	Adult Day Care		CALIFORNIA	Yes

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
1	ADH70014F	MEDICAID	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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