Provider Demographics
NPI:1619528346
Name:DAVID REHABILITATION INCORPORATED
Entity Type:Organization
Organization Name:DAVID REHABILITATION INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BARAWID
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:562-888-3621
Mailing Address - Street 1:2234 N BELLFLOWER BLVD UNIT 15691
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-7028
Mailing Address - Country:US
Mailing Address - Phone:562-888-3621
Mailing Address - Fax:
Practice Address - Street 1:5901 E 7TH ST # 10-117
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90822-5201
Practice Address - Country:US
Practice Address - Phone:562-888-3621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-24
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty