TRIUMPHANT LIFE NPI 1982060695

NPI Information

NPI: 1982060695
Provider Name: TRIUMPHANT LIFE
Classification: Clinic/Center - 261QR0401X
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Entity Type: Organization
Address: 19923 BEAR VALLEY RD
APPLE VALLEY, CA
ZIP 92308
Phone: (760) 553-5307

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NPI Details

TRIUMPHANT LIFE is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Apple Valley, CA. TRIUMPHANT LIFE NPI is 1982060695. The provider is registered as an organization entity type.

The provider's business location address is:

19923 BEAR VALLEY RD
APPLE VALLEY, CA
ZIP 92308-106
Phone: (760) 553-5307

The provider's authorized official is Charles Frank Pulliam .
The authorized official title is Ceo/president and has the following contact phone number (760) 646-9174.

The enumeration date for this NPI number is 1/11/2016 and was last updated on 1/11/2016.

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	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)			Yes

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: 11/21/2025

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