| Organization Name: | SOUTH PACIFIC REHABILITATION SERVICES, INC |
| NPI Number: | 1669572707 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CALVIN IYOYA (CHIEF OPERATION OFFICER) |
| Mailing Address: | 830 South Citrus Ave, Suite 203 Azusa |
| State: | CA US |
| Postal Code: | 917025911 |
| Phone Number: | 6263396514 |
| Fax Number: | 6263396573 |
| NPI Enumeration Date: | 09/25/2006 |
| NPI Last Update Date: | 10/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |