Provider Demographics
NPI:1609245521
Name:RAPID RELIEF REHABILITATION, LLC
Entity Type:Organization
Organization Name:RAPID RELIEF REHABILITATION, LLC
Other - Org Name:RAPID RELIEF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEATH EDUCATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:LORIN
Authorized Official - Last Name:LUBAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-923-3595
Mailing Address - Street 1:2525 OCEAN PARK BLVD
Mailing Address - Street 2:#110
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-5284
Mailing Address - Country:US
Mailing Address - Phone:310-923-3595
Mailing Address - Fax:
Practice Address - Street 1:2525 OCEAN PARK BLVD
Practice Address - Street 2:#110
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-5284
Practice Address - Country:US
Practice Address - Phone:310-923-3595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17296174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty