| Organization Name: | USA REHAB AND WELLNESS CTR LLC |
| NPI Number: | 1023196045 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FELICIA THOMAS (BILLING MANAGER) |
| Mailing Address: | 13428 Maxella Ave Ste 505 Marina Del Rey |
| State: | CA US |
| Postal Code: | 902925620 |
| Phone Number: | 3108223770 |
| Fax Number: | 3108223770 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225400000X |
| License Number: | 20A81676 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Rehabilitation Practitioner |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |