Provider Demographics
NPI:1306028584
Name:SHAPIRA & STEIN REHABILITATION CENTER, INC.
Entity Type:Organization
Organization Name:SHAPIRA & STEIN REHABILITATION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRSHTEYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-916-8333
Mailing Address - Street 1:4423 47TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92115-4516
Mailing Address - Country:US
Mailing Address - Phone:619-280-3200
Mailing Address - Fax:619-280-3205
Practice Address - Street 1:4423 47TH ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-4516
Practice Address - Country:US
Practice Address - Phone:619-280-3200
Practice Address - Fax:619-280-3205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW17928Medicare PIN