Provider Demographics
NPI:1679882229
Name:NEW HORIZON PHYSICAL REHABILITATION INC
Entity Type:Organization
Organization Name:NEW HORIZON PHYSICAL REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DIMITRI
Authorized Official - Middle Name:
Authorized Official - Last Name:RIMSKY
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:310-200-5879
Mailing Address - Street 1:12568 W. WASHINGTON BLVD.
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-5521
Mailing Address - Country:US
Mailing Address - Phone:323-243-5273
Mailing Address - Fax:323-656-1758
Practice Address - Street 1:12568 W. WASHINGTON BLVD.
Practice Address - Street 2:SUITE 202
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-5521
Practice Address - Country:US
Practice Address - Phone:323-243-5273
Practice Address - Fax:323-656-1758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-30
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty