Provider Demographics
NPI:1083733042
Name:POST SURGICAL REHAB SPECIALISTS
Entity Type:Organization
Organization Name:POST SURGICAL REHAB SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOOMNGERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-468-4600
Mailing Address - Street 1:PO BOX 2886
Mailing Address - Street 2:
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-0886
Mailing Address - Country:US
Mailing Address - Phone:562-468-4600
Mailing Address - Fax:562-468-4646
Practice Address - Street 1:10450 PIONEER BLVD STE 3
Practice Address - Street 2:
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-8227
Practice Address - Country:US
Practice Address - Phone:562-468-4600
Practice Address - Fax:562-468-4646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA200522310202332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5638780001Medicare NSC