Provider Demographics
NPI:1326161852
Name:RAHAB & ASSOCIATES LLC
Entity Type:Organization
Organization Name:RAHAB & ASSOCIATES LLC
Other - Org Name:RAHAB MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUCKY
Authorized Official - Middle Name:
Authorized Official - Last Name:ISELEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-727-9636
Mailing Address - Street 1:826 B ST
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-5108
Mailing Address - Country:US
Mailing Address - Phone:510-727-9636
Mailing Address - Fax:510-727-9662
Practice Address - Street 1:826 B ST
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-5108
Practice Address - Country:US
Practice Address - Phone:510-727-9636
Practice Address - Fax:510-727-9662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5980390001Medicare NSC