Organization Name: | POST SURGICAL REHAB SPECIALISTS |
NPI Number: | 1083733042 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BERT CHOOMNGERN (MANAGER) |
Mailing Address: | 10450 Pioneer Blvd Ste 3 Santa Fe Springs |
State: | CA US |
Postal Code: | 906708227 |
Phone Number: | 5624684600 |
Fax Number: | 5624684646 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 06/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 200522310202 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |