| Organization Name: | VIBRANTCARE OUTPATIENT REHABILITATION OF CALIFORNIA INC |
| NPI Number: | 1083618573 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID SMITH (CEO) |
| Mailing Address: | 20996 Redwood Rd Castro Valley |
| State: | CA US |
| Postal Code: | 945465918 |
| Phone Number: | 5105370272 |
| Fax Number: | 5105375819 |
| NPI Enumeration Date: | 06/13/2005 |
| NPI Last Update Date: | 10/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |