Organization Name: | MANAGED CARE REHAB., INC. |
NPI Number: | 1881749323 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAYHAN SOODJANI (ADMINISTRATOR) |
Mailing Address: | 18531 Roscoe Blvd Suite 215a Northridge |
State: | CA US |
Postal Code: | 913245462 |
Phone Number: | 8188862245 |
Fax Number: | 8188863826 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 03/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT20306 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |