Provider Demographics
NPI:1275638967
Name:CALIFORNIA REHABILITATION, INC
Entity Type:Organization
Organization Name:CALIFORNIA REHABILITATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LESTER
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:STONEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-548-4580
Mailing Address - Street 1:361 HOSPITAL RD STE 425
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3525
Mailing Address - Country:US
Mailing Address - Phone:949-548-4580
Mailing Address - Fax:949-548-2558
Practice Address - Street 1:361 HOSPITAL RD STE 425
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3525
Practice Address - Country:US
Practice Address - Phone:949-548-4580
Practice Address - Fax:949-548-2558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG647262081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE08646Medicare UPIN