Provider Demographics
NPI:1417932484
Name:CALIFORNIA HAND REHABILITATION INC
Entity Type:Organization
Organization Name:CALIFORNIA HAND REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:A
Authorized Official - Last Name:GOKEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS OTRL CHT
Authorized Official - Phone:707-259-1152
Mailing Address - Street 1:3273 CLAREMONT WAY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3306
Mailing Address - Country:US
Mailing Address - Phone:707-259-1152
Mailing Address - Fax:707-259-1361
Practice Address - Street 1:3273 CLAREMONT WAY
Practice Address - Street 2:SUITE 204
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-3306
Practice Address - Country:US
Practice Address - Phone:707-259-1152
Practice Address - Fax:707-259-1361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-13
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12565225X00000X
CA1830967225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ18943ZMedicare PIN
0882630001Medicare NSC
CAP16136Medicare UPIN